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Contact Information

PHYLLIS C HUETTNER, MD
425 S EUCLID AVE
3RD FLOOR
SAINT LOUIS, MO63110-1005
 Phone: 314-362-5641
 Fax: 314-362-0369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PHYLLIS C HUETTNER · (Female)

NPI # 1730105057
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 10/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R7P35
  • LA Medicaid 1998117
  • MO Medicaid 021010176
Hospital affiliation(s)
  • MERCY HOSPITAL ST LOUIS - (Acute Care)
    615 NEW BALLAS ROAD
    SAINT LOUIS, MO 63141
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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