Provider Demographics
NPI:1083798466
Name:SEWING, BRYAN NORBERT (DO)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:NORBERT
Last Name:SEWING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9339 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63144-1007
Mailing Address - Country:US
Mailing Address - Phone:314-918-0891
Mailing Address - Fax:314-726-1090
Practice Address - Street 1:225 S MERAMEC AVE
Practice Address - Street 2:SUITE 721
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3511
Practice Address - Country:US
Practice Address - Phone:314-726-1080
Practice Address - Fax:314-726-1090
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO1158442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry