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NPI Code Detail

MEDICARE: REBEKAH SUEZANN HELMIG

MEDICARE: REBEKAH SUEZANN HELMIG
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
1207Q00000XFamily Medicine Physician2017022243MO

General Provider Information

NPI Number : 1851803159
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH SUEZANN HELMIG
Provider Business Mailing Address
First Line : 1001 CARDWELL ST
Second Line :
City : SAINT CLAIR
State : MO
Zip : 63077-1094
Country : US
Telephone Number : 636-629-3300
Fax Number : 636-629-7377
Provider Business Practice Location Address
First Line : 1001 CARDWELL ST
Second Line :
City : SAINT CLAIR
State : MO
Zip : 63077-1094
Country : US
Telephone Number : 636-629-3300
Fax Number : 636-629-7377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2017
Last Update Date : 10/23/2018

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Directions to “ REBEKAH SUEZANN HELMIG ” Practice Location

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