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Contact Information

ANDREA M HOLTHAUS, MD
3009 N BALLAS RD STE 383C
SAINT LOUIS, MO63131-2324
 Phone: 314-996-4545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for ANDREA M HOLTHAUS · (Female)

NPI # 1528031473
Status Active
Credentials MD
Entity Individual
Enumeration date 02/10/2006
Last updated 06/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2004011870
  • IL Medicaid 1528031473
  • MO Medicaid 209226109
Hospital affiliation(s) Not Available
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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