Stephanie Nugrahennie, MD
NPI #1669241774 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1669241774
- Entity Type
- Individual
- Name
- Stephanie Nugrahennie, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Credential
- MD
- Enumeration Date
- Dec 29, 2023
- Last Updated
- Dec 29, 2023
Practice Location
- Address
- 6642 CLAYTON RD # 403
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63117-1602
- Phone
- (314) 332-7754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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