Healthcare Provider Details

I. General information

NPI: 1518287572
Provider Name (Legal Business Name): MAUREEN M. BYLINA SCHULTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2010
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 FOREST PARK AVE STE 3100
SAINT LOUIS MO
63108-2212
US

IV. Provider business mailing address

660 S EUCLID AVE C B 8064
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-286-2400
  • Fax: 314-286-2455
Mailing address:
  • Phone: 314-286-2400
  • Fax: 314-286-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2014021730
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number2014021730
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number2014021730
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: