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Individual

ERIK CHRISTIAN MADSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5395
(314) 268-6459
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5395
(314) 268-6459

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016011309
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2016011309
MO

Other

Enumeration date
03/24/2010
Last updated
01/15/2021
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