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Contact Information

GRANT N BLEEKER, MD
3015 N BALLAS RD
SAINT LOUIS, MO63131
 Phone: 314-996-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for GRANT N BLEEKER · (Male)

NPI # 1063739894
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2010
Last updated 05/23/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # APPLICATION ACTIVE
  • MO License # 2014005675
Hospital affiliation(s)
  • MISSOURI BAPTIST MEDICAL CENTER - (Acute Care)
    3015 N BALLAS RD
    TOWN AND COUNTRY, MO 63131
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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