Individual
DR. ANDRE ROBERT THEUERKAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Mailing address
1110 HIGHLANDS PLAZA DR E STE 220, SAINT LOUIS, MO 63110-1351
(314) 273-0195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021028090
MO
207R00000X
Internal Medicine Physician
78667
MN
208M00000X
Hospitalist Physician
Primary
78667
MN
Other
Enumeration date
06/20/2018
Last updated
04/24/2025
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