MEDICARE: GARY DWAYNE TEGGE

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
1	247200000X	Other Technician

General Provider Information

NPI Number	:	1871941880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY DWAYNE TEGGE

Provider Business Mailing Address
First Line	:	616 MAPLE ST
Second Line	:
City	:	SAINT LOUIS
State	:	MI
Zip	:	48880-1335
Country	:	US
Telephone Number	:	989-817-6234
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 MAPLE ST
Second Line	:
City	:	SAINT LOUIS
State	:	MI
Zip	:	48880-1335
Country	:	US
Telephone Number	:	989-817-6234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2016
Last Update Date	:	05/31/2016

Similar Medicare Providers

1184898272 — THE SALVATION ARMY MIDLAND DIVISION
Practice Location Address:

3010 WASHINGTON AVE
SAINT LOUIS, MO
63103-1335

Practice Phone: 314-652-1310
Practice Fax: 314-286-3230

1073771218 — MRS. ANNE-MARIE MCMAHON MS CCCSLP
Practice Location Address:

1335 STRASSNER DR
SAINT LOUIS, MO
63144-1872

Practice Phone: 844-502-7996
Practice Fax:

1386015055 — THE SALVATION ARMY
Practice Location Address:

3010 WASHINGTON AVE
SAINT LOUIS, MO
63103-1335

Practice Phone: 314-652-3310
Practice Fax: 314-286-3230

1346709896 — KELSEY MELSHEIMER OTR/L
Practice Location Address:

1335 STRASSNER DR
SAINT LOUIS, MO
63144-1872

Practice Phone: 844-502-7996
Practice Fax:

1760126379 — MADELEINE GRACE DOYLE
Practice Location Address:

1335 STRASSNER DR
SAINT LOUIS, MO
63144-1872

Practice Phone: 844-502-7996
Practice Fax:

1932838059 — DR. KRISTEN ALICIA HAEBERLEIN PH.D.
Practice Location Address:

1600 S BRENTWOOD BLVD STE 500
SAINT LOUIS, MO
63144-1335

Practice Phone: 314-557-9797
Practice Fax: 314-228-0128

Directions to “ GARY DWAYNE TEGGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.