CHARLES DAVID ETTELSON

SAINT LOUIS, MO
NPI1255332904
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: MO  R9446)
Enumeration Date2005-08-03
Last Update Date2013-07-02
Business Address
Dr. CHARLES DAVID ETTELSON M.D.
730 AUDUBON DR
SAINT LOUIS, MO 63105-2906
Phone number: 314-324-7605
Mailing Address
Dr. CHARLES DAVID ETTELSON M.D.
730 AUDUBON DR
SAINT LOUIS, MO 63105-2906
Phone number: 314-324-7605
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