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NPI Code Detail

MEDICARE: STANLEY I BIEL M.D.

MEDICARE:   STANLEY I BIEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology PhysicianR9573MO
2207RC0000XCardiovascular Disease PhysicianR9573MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A09848OTHERMERCY
2P00287307OTHERMOMORRMCR
3207585OTHERMOMOBC/BS, BLUE CHOICE
442312V3831OTHERGHP
5822864OTHERUHC
6431098908OTHERAETNA
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8021221OTHERFMH

General Provider Information

NPI Number : 1154327039
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY I BIEL M.D.
Provider Business Mailing Address
First Line : 11125 DUNN RD
Second Line : SUITE 204
City : SAINT LOUIS
State : MO
Zip : 63136-6132
Country : US
Telephone Number : 314-839-5522
Fax Number : 314-839-5351
Provider Business Practice Location Address
First Line : 12266 DE PAUL DR STE 205
Second Line :
City : BRIDGETON
State : MO
Zip : 63044-2514
Country : US
Telephone Number : 314-218-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 10/30/2020

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Directions to “ STANLEY I BIEL M.D.” Practice Location

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