Healthcare Provider Details

I. General information

NPI: 1184601569
Provider Name (Legal Business Name): METROPOLITAN PLASTIC SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 JUNGERMANN CIR STE 402
ST PETERS MO
63376-1637
US

IV. Provider business mailing address

70 JUNGERMANN CIR STE 402
ST PETERS MO
63376-1637
US

V. Phone/Fax

Practice location:
  • Phone: 636-441-2340
  • Fax: 636-441-2325
Mailing address:
  • Phone: 636-441-2340
  • Fax: 636-441-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberR7659
License Number StateMO

VIII. Authorized Official

Name: DR. JAMES HENRY SCHEU
Title or Position: PRESIDENT / OWNER
Credential: MD
Phone: 636-441-2340