Individual
DR. ADRIANA M CANAS-POLESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1203 SMIZER MILL RD STE 106, FENTON, MO 63026-3483
(636) 717-1390
(636) 717-1395
Mailing address
1203 SMIZER MILL RD STE 106, FENTON, MO 63026-3483
(636) 717-1390
(636) 717-1395
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2004022976
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208785600
—
MO
Enumeration date
01/26/2006
Last updated
02/15/2012
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