National Provider Identifier Database

TIMOTHY D FAGEN, DO – NPI #1750315958
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

TIMOTHY D FAGEN, DO
1402 S GRAND BLVD STE M260
ST LOUIS UNIVERSITY GME
SAINT LOUIS, MO63104-1004
Phone: 314-577-8782
Fax:
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X
General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for TIMOTHY D FAGEN

NPI Number 1750315958
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/11/2006
Last updated 08/11/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • HI License #: DOS 1120
  • MI License #: 5101017047
  • MO License #: 2010014000
Hospital affiliation n/a

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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