OrganizationActive
Generation Clinical Partners LLC
NPI 1104235241 · Geriatric Medicine (Internal Medicine) Physician · Saint Louis, MO
Provider details
- NPI number
- 1104235241
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Walter Lin, Chief Executive Officer(314) 925-0903
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10426 Baur Blvd
Saint Louis, MO 63132-1905
Phone: (314) 925-0903
Approximate (ZIP-level) locationGet directions
Mailing address
11500 Olive Blvd Ste 235
Saint Louis, MO 63141-7141
Registry dates
- Enumerated
- 2014-08-02
- Last updated
- 2023-06-29
- Certified
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.