IndividualActive
Lisa Etzwiler, M.D.
NPI 1740398593 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Creve Coeur, MO
Provider details
- NPI number
- 1740398593
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 102051 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
621 S New Ballas Rd
St. John'S Mercy Medical Center, Suite 6006, Tower B
Creve Coeur, MO 63141-8232
Phone: (314) 251-6299
Fax: (314) 251-4450
Approximate (ZIP-level) locationGet directions
Mailing address
16522 Baxter Forest Ridge Dr
Chesterfield, MO 63005-4661
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.