person
Dr. Charles David Ettelson, MD
Plastic and Reconstructive Surgery Physician in Saint Louis, Missouri
NPI 1255332904

Charles David Ettelson is a Plastic and Reconstructive Surgery Physician based in Saint Louis, MO and is specialized in Plastic and Reconstructive Surgery. Charles David Ettelson practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Charles David Ettelson is 1255332904 and holds a License No. R9446 (Missouri).

The current practice location address for Charles David Ettelson is 730 Audubon Dr, Saint Louis, MO and can be reached out via phone at 314-324-7605.

Location: 730 Audubon Dr, Saint Louis, MO, 63105-2906
person
Provider Profile Details
NPI Number
1255332904
Provider Name
Charles David Ettelson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
730 Audubon Dr, Saint Louis, MO, 63105-2906
Phone Number
314-324-7605
Fax Number
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
730 Audubon Dr
City
State
Zip
63105-2906
Phone Number
314-324-7605
Fax Number
person
Provider Business Mailing Address Details
Address
730 Audubon Dr
City
State
Zip
63105-2906
Phone Number
314-324-7605
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
R9446 (Missouri)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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