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1699790402
SHAWN T STATZER
SAINT LOUIS, MO
NPI
1699790402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO 106389)
Enumeration Date
2006-07-13
Last Update Date
2021-03-05
Business Address
SHAWN T STATZER MD
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-977-5700
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Mailing Address
SHAWN T STATZER MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440
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