Individual
STANTON ROSS SCHILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL PLAZA, LAKE ST LOUIS, MO 63367
(636) 625-5200
(636) 625-5376
Mailing address
25 CHIPPENHAM LN, CHESTERFIELD, MO 63005-6801
(636) 394-7900
(636) 394-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6509
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R6509
STATE LICENSE
MO
Enumeration date
11/16/2006
Last updated
07/08/2007
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