Griesbaum, Robert V

Griesbaum, Robert V is an individual health care provider with primary practice located at 12700 Southfork Rd , Saint Louis MO 63128-3201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Griesbaum, Robert V can be contacted via phone (314) 892-6565.

Contact Information

Primary practice address
12700 Southfork Rd Saint Louis MO 63128-3201
Phone: (314) 892-6565
Fax: (314) 892-4828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X R7958 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X R7958 Missouri

Profile Details

NPI number 1902894934
LBN Legal business name Griesbaum, Robert V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Mar 14th, 2017 - about 7 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 1902894934 NPPES
Missouri MEDICAID 201142817

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