Tenenbaum, Marissa Morningstar

Tenenbaum, Marissa Morningstar is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Plastics, Ste 6G, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Tenenbaum, Marissa Morningstar can be contacted via phone (314) 362-7388.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Plastics, Ste 6G Saint Louis MO 63110-1032
Phone: (314) 362-7388
Fax: (833) 301-0853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 2008029868 Missouri

Profile Details

NPI number 1124232236
LBN Legal business name Tenenbaum, Marissa Morningstar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated May 9th, 2024 - about 7 months 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 1124232236 NPPES
Missouri MEDICAID 201009008

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