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Emily Mae Fleckenstein

Physician Assistant in Saint Louis, MO. Individual provider (NPI-1).

NPI number1710690052
StatusActive
Last updated in NPPESJan 5, 2024

Details

NPI
1710690052
Entity type
Individual (NPI-1)
Name
Emily Mae Fleckenstein
Sex
Female
Sole proprietor
No
Enumeration date
Jan 2, 2023
Certification date
Jan 5, 2024
Last updated
Jan 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant2024000065MOYes

Practice location

1465 S Grand Blvd
Saint Louis, MO 63104-1003

Phone 314-577-5600

Mailing address

5500 Pershing Ave Apt 23
Saint Louis, MO 63112-1790

Phone 630-870-9054

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