Jonathan W Heusel, MD Valid NPI

Individual provider · Molecular Genetic Pathology (Pathology) Physician · Saint Louis, MO

NPI

1255329058

Type

Individual (Type 1)

Primary specialty

Molecular Genetic Pathology (Pathology) Physician (Pathology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ZP0007X

License number

108616 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-06

Last updated

2021-11-15