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
ZIP Code
63105-2906
Phone
(314) 324-7605

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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