Individual
LINDA THERKILDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8710 MANCHESTER RD, SAINT LOUIS, MO 63144-2724
(314) 961-3570
(314) 961-6450
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006025334
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206288904
—
MO
Enumeration date
09/05/2006
Last updated
05/05/2014
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