Individual
LINDSEY M NISSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(314) 205-6990
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3406
(314) 205-6990
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019005009
MO
Other
Enumeration date
06/14/2016
Last updated
03/22/2021
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