Healthcare Provider Details

I. General information

NPI: 1144373341
Provider Name (Legal Business Name): WILLIAM FEINSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 OLD DES PERES RD SUITE 100
SAINT LOUIS MO
63131-1873
US

IV. Provider business mailing address

1050 OLD DES PERES RD SUITE 100
SAINT LOUIS MO
63131-1873
US

V. Phone/Fax

Practice location:
  • Phone: 314-569-0612
  • Fax: 314-569-0618
Mailing address:
  • Phone: 314-569-0612
  • Fax: 314-569-0618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number2000155783
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: