Midwest Dermal Specialist

NPI #1689817322 in Fenton, Missouri

Provider Information

NPI Number
1689817322
Entity Type
Organization
Organization Name
Midwest Dermal Specialist
Primary Specialty
Nursing Care
Enumeration Date
Apr 10, 2009
Last Updated
Apr 10, 2009

Practice Location

Address
1423 VILLAS ESTATES DR
City
Fenton
ZIP Code
63026-3284
Phone
(314) 954-5568

Authorized Official

Name
MS. TAMMIE MARIE AUER, REGISTERED NURSE
Title
OWNER
Phone
(314) 954-5568

Specialties & Taxonomy Codes

Specialty
Nursing Care

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