Provider Demographics
NPI:1760611289
Name:SHIEH, STEPHANIE CHRISTINE (MD)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:CHRISTINE
Last Name:SHIEH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:915 N GRAND BLVD
Mailing Address - Street 2:111B/JC
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63106-1621
Mailing Address - Country:US
Mailing Address - Phone:314-289-6485
Mailing Address - Fax:314-289-7012
Practice Address - Street 1:915 N GRAND BLVD
Practice Address - Street 2:111B/JC
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-1621
Practice Address - Country:US
Practice Address - Phone:314-289-6485
Practice Address - Fax:314-289-7012
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2015-07-24
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Provider Licenses
StateLicense IDTaxonomies
MO201429423207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology