Jennifer Lynn Heithaus M.D,

NPI 1639468135 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1639468135
Gender Female
Enumeration Date 04/05/2011
Last Updated 04/05/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1465 SOUTH GRAND BOULEVARD, ROOM 1204
SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
ST. LOUIS MO, 63104, US
Phone (314) 577-5600
Fax (314) 577-5616
Business Location
1465 SOUTH GRAND BOULEVARD, ROOM 1204
SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
ST. LOUIS MO, 63104, US
Phone (314) 577-5600
Fax (314) 577-5616
Toxanomy
Taxonomy Code 390200000X
License State
License Number
Remove 1639468135 NPI Number
 

According to our database, Dr. Jennifer Lynn Heithaus M.D, NPI is 1639468135, taxonomy code is 390200000X Jennifer Lynn Heithaus M.D, physically located at 1465 South Grand Boulevard, Room 1204, St. Louis MO, 63104. NPI Number Jennifer Lynn Heithaus M.D, has the Individual type.

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1639468135 NPI number is provided on an as is basis without warranty of any kind. 1639468135 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Lynn Heithaus M.D, are for informational purposes only.