Andrea M Holthaus, MD
Internal Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1528031473
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1528031473
- Entity type
- Individual (NPI-1)
- Name
- Andrea M Holthaus
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2006
- Certification date
- Jun 21, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2004011870 | MO | Yes |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 2004011870 | MO | |
| 208M00000X | Hospitalist | 2004011870 | MO |
Practice location
3009 N Ballas Rd Ste 383cSaint Louis, MO 63131-2324
Phone 314-996-4545
Mailing address
3009 N Ballas Rd Ste 383cSaint Louis, MO 63131-2324
Phone 314-996-4545
Other practice locations
10 Hospital Dr
St Peters, MO 63376-1659
St Peters, MO 63376-1659
Phone 314-317-0600 · Fax 314-317-0606
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