Individual provider · Type 1 NPI

Marissa Morningstar Tenenbaum, MD

Plastic and Reconstructive Surgery Physician · St. Louis, MO

NPI number 1124232236 Active

Practice location

4921 Parkview Pl, Div Surg Plastics, Ste 6G
St. Louis, MO 63110-1032

Call (314) 362-7388 Map

Fax (833) 301-0853

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X2008029868 (MO)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1124232236

Marissa Morningstar Tenenbaum, MD's National Provider Identifier is 1124232236, issued on May 9, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in St. Louis, MO. The record was last updated on Apr 21, 2025.