Individual
RUENRUDEE SUWANNASRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 N BALLAS RD, SUITE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
Mailing address
1859 DOUGHERTY ESTATES DR, MANCHESTER, MO 63021-5850
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R7C52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102370
HEALTHLINK
MO
01
—
11012291
RR MEDICARE
MO
01
—
27932
BC/BS
MO
01
—
4553579
AETNA
MO
01
—
48070
GHP
MO
Enumeration date
08/25/2005
Last updated
01/08/2014
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