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1487670600
BRIAN NUSSENBAUM
SAINT LOUIS, MO
NPI
1487670600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: MO 2002009369)
Enumeration Date
2006-07-14
Last Update Date
2016-11-14
Business Address
DR. BRIAN NUSSENBAUM MD
4921 PARKVIEW PL STE 11A
SAINT LOUIS, MO 63110-1032
Phone number: 314-362-7509
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Mailing Address
DR. BRIAN NUSSENBAUM MD
660 S EUCLID AVE C B 8115
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-7509
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