Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Casey Vickstrom, MD, PHD

Individual provider Neurology Physician · NPI 1154053411

Casey Vickstrom, MD, PHD is a Neurology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1 Childrens Pl Ste 3S34
Saint Louis, MO 63110-1002
Phone: (314) 454-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 2023040873 (MO)

Record details

NPI number1154053411
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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