DR. CHARLES ETTELSON, M.D.
Surgery - Plastic and Reconstructive Surgery
Active
Individual
NPI: 1255332904
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery - Plastic and Reconstructive Surgery | 2086S0122X | Yes | R9446 (MO) |
Frequently Asked Questions
NPI 1255332904 is the National Provider Identifier for DR. CHARLES ETTELSON, M.D., a Surgery - Plastic and Reconstructive Surgery provider located in Saint Louis, MO. This NPI was enumerated on August 3, 2005.
DR. CHARLES ETTELSON, M.D. practices at 730 AUDUBON DR, Saint Louis, MO 63105.
Quick Facts
- NPI
- 1255332904
- Type
- Individual
- Enumerated
- Aug 3, 2005
- Last Updated
- Jul 2, 2013
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