Provider Demographics
NPI:1295312817
Name:AHLERING, CHRISTOPHER PHELAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PHELAN
Last Name:AHLERING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3691 RUTGER ST FL 1
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2515
Mailing Address - Country:US
Mailing Address - Phone:314-977-1919
Mailing Address - Fax:314-977-1628
Practice Address - Street 1:1201 SOUTH GRAND BLVD.
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104
Practice Address - Country:US
Practice Address - Phone:314-257-1320
Practice Address - Fax:314-977-1628
Is Sole Proprietor?:No
Enumeration Date:2021-03-28
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MO2024016526207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program