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1114267655
ELLEN ROSE WERTENBERGER
SAINT LOUIS, MO
NPI
1114267655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2013005294)
Enumeration Date
2013-02-20
Last Update Date
2024-04-25
Business Address
Mrs. ELLEN ROSE WERTENBERGER PA
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
SAINT LOUIS, MO 63110-1016
Phone number: 314-362-7200
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Mailing Address
Mrs. ELLEN ROSE WERTENBERGER PA
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 314-362-7200
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