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Contact Information

SHANTERIAN WYATT, MD
915 N GRAND BLVD
SAINT LOUIS, MO63106-1621
 Phone: 314-652-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for SHANTERIAN WYATT · (Female)

NPI # 1841685617
Status Active
Credentials MD
Entity Individual
Enumeration date 03/30/2015
Last updated 11/21/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2020010508
Hospital affiliation(s)
  • ST LOUIS UNIVERSITY HOSPITAL - (Acute Care)
    3635 VISTA AVE
    SAINT LOUIS, MO 63110
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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