Individual
EVAN MERRICK SEMBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 S. GRAND, M260, ST. LOUIS, MO 63104
(314) 617-2919
Mailing address
816 E LAKE SHORE DR, SPRINGFIELD, IL 62712-8966
(217) 725-7056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
03/17/2024
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