Griesbaum, Mary Magdalene

Griesbaum, Mary Magdalene is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Dept Anesthesiology, Saint Louis MO 63110-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Griesbaum, Mary Magdalene can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Dept Anesthesiology Saint Louis MO 63110-1003
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2020041081 Missouri

Profile Details

NPI number 1417546441
LBN Legal business name Griesbaum, Mary Magdalene
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2021
Last updated Apr 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417546441 NPPES
Missouri MEDICAID 420092182

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