Search › Illinois › 207R00000X
Crystal Manse, M.D
NPI 1366702870 · on the registry since 2012
Practice
- Address
- 3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269 - Phone
- (618) 233-5480
- Fax
- (618) 222-4792
- Organisation at this address
- Urology Of St. Louis, Inc.
Southern Illinois Healthcare Foundation Inc
St Elizabeths Hospital Of The Hospital Sisters Of The Third OrderInferred from a shared address, not stated in the registry. - Clinicians at this address
- 108
Additional practice sites
- 375th Medical Group, Scott Afb, IL
- 2200 Bergquist Dr, Lackland A F B, TX
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208D00000X
208M00000X - Licence states on file
- VA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois