Provider Demographics
NPI:1750888350
Name:VETTER, HANNAH MARIE (DO)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:VETTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6081
Mailing Address - Country:US
Mailing Address - Phone:314-251-0444
Mailing Address - Fax:
Practice Address - Street 1:621 S NEW BALLAS RD STE 4005B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8268
Practice Address - Country:US
Practice Address - Phone:314-251-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022030089207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology