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NPI Code Detail

MEDICARE: DR. KAREN MICHELLE BERTELS MD

MEDICARE: DR. KAREN MICHELLE BERTELS MD
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
1208D00000XGeneral Practice Physician20166464IL
2208D00000XGeneral Practice Physician2018013516MO
3207P00000XEmergency Medicine Physician2018013516MO
4207P00000XEmergency Medicine Physician20166464IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548657737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN MICHELLE BERTELS MD
Provider Business Mailing Address
First Line : PO BOX 959203
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63195-9203
Country : US
Telephone Number : 314-996-7014
Fax Number : 314-273-0140
Provider Business Practice Location Address
First Line : 4315 MEMORIAL DR
Second Line :
City : BELLEVILLE
State : IL
Zip : 62226-5342
Country : US
Telephone Number : 314-996-7014
Fax Number : 314-273-0140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2015
Last Update Date : 01/30/2026

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