Individual provider · Type 1 NPI

Timothy Manuel, MD

General Practice Physician · St. Louis, MO

NPI number 1689652158 Active

Practice location

13065 Old Tesson Ferry Rd
St. Louis, MO 63128-3441

Call (314) 647-9797 Map

Fax (314) 270-8520

Mailing address

PO Box 14222
Belfast, ME 04915-4035

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X2016016256 (MO)
General Practice Physician 208D00000X35-065764 (OH)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

4 other providers at this address

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About NPI 1689652158

Timothy Manuel, MD's National Provider Identifier is 1689652158, issued on Jan 5, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2016.