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Individual

SHRADDHA KIRAN ADWALPALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11160 VILLAGE NORTH DR, SAINT LOUIS, MO 63136-6159
(618) 250-9073
Mailing address
205 ASHLEY PL APT 8, EDWARDSVILLE, IL 62025-3541

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2017014327
MO

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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