Provider Demographics
NPI:1497959977
Name:MUSIEK, ERIK STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:STEVEN
Last Name:MUSIEK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-362-1408
Mailing Address - Fax:314-286-1985
Practice Address - Street 1:4488 FOREST PARK AVE
Practice Address - Street 2:DIV NEUROLOGY AGING AND DEMENTIA, STE 160
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2283
Practice Address - Country:US
Practice Address - Phone:314-362-1408
Practice Address - Fax:314-286-1985
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20110099202084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204489900Medicaid
ILENROLLEDMedicaid