Individual
ROBERT V GRIESBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12700 SOUTHFORK RD, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Mailing address
12700 SOUTHFORK RD, STE 270, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R7958
MO
207RP1001X
Pulmonary Disease Physician
Primary
R7958
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201142817
—
MO
Enumeration date
10/13/2005
Last updated
03/14/2017
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