NPI 1053408864

Michael Paul Fullenkamp, MD

Practitioner Emergency Medicine Physician St. Louis, MO

Practice location

Address: 1 Barnes Jewish Hospital Plaza, St. Louis, MO 63110
Phone: (314) 294-0446
Mailing address: 379 N Taylor Ave APT 1w, Saint Louis, MO 63108-1981

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 2005015807 (MO)

Other Emergency Medicine providers in Missouri →

Registry record

NPI: 1053408864
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2006
Record last updated: 8 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.