Madeliene Elaine Gainers MD

NPI 1679779565 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1679779565
Gender Female
Enumeration Date 06/26/2007
Last Updated 08/14/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
660 S. EUCLID AVENUE
WASHINGTON UNIV MED CTR/DIV OF DERMATOLOGY
ST LOUIS MO, 63110, US
Phone (314) 454-8622
Fax (314) 454-5928
Business Location
660 S. EUCLID AVENUE, BOX 8123
WASHINGTON UNIV MED CTR/DIV OF DERMATOLOGY
ST LOUIS MO, 63110, US
Phone (314) 454-8622
Fax (314) 458-5928
Toxanomy
Taxonomy Code 2084P0800X
License State South Carolina
License Number LL29975
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According to our database, Ms. Madeliene Elaine Gainers MD NPI is 1679779565, taxonomy code is 2084P0800X and license number is LL29975, license state is located at South Carolina. Madeliene Elaine Gainers MD physically located at 660 S. Euclid Avenue, St Louis MO, 63110. NPI Number Madeliene Elaine Gainers MD has the Individual type.

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1679779565 NPI number is provided on an as is basis without warranty of any kind. 1679779565 is maintained by the National Plan & Provider Enumeration System. The contents of Madeliene Elaine Gainers MD are for informational purposes only.