DEREK RICHARD ST LOUIS MD NPI 1467947762

NPI Information

NPI: 1467947762
Provider Name: DEREK RICHARD ST LOUIS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
221 MICHIGAN ST NE STE 402
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-1929
Get Directions

Derek Richard St Louis, MD is a diagnostic radiology radiology in Grand Rapids, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Derek Richard St Louis, MD NPI is 1467947762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

221 MICHIGAN ST NE STE 402
GRAND RAPIDS, MI
ZIP 49503-538
Phone: (616) 391-1929
Fax: (616) 391-3130

The enumeration date for this NPI number is 6/28/2018 and was last updated on 6/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	4301115571	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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