Individual provider · Type 1 NPI

Susan E. Mackinnon, MD

Neurological Surgery Physician · St. Louis, MO

NPI number 1811913130 Active

Practice location

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

Fax (833) 301-0853

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Surgery of the Hand (Surgery) Physician 2086S0105X102027 (MO)
Plastic and Reconstructive Surgery Physician 2086S0122X102027 (MO)
Neurological Surgery Physician Primary 207T00000X102027 (MO)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1811913130

Susan E. Mackinnon, MD's National Provider Identifier is 1811913130, issued on Jul 14, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.