DR. Charles David Ettelson, M.D.
NPI #1255332904 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1255332904
- Entity Type
- Individual
- Name
- DR. Charles David Ettelson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Credential
- M.D.
- Enumeration Date
- Aug 3, 2005
- Last Updated
- Jul 2, 2013
Practice Location
- Address
- 730 AUDUBON DR
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63105-2906
- Phone
- (314) 324-7605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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