Individual
DR. FRED MARKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11115 NEW HALLS FERRY RD, SUITE 104, FLORISSANT, MO 63033-7613
(314) 839-2347
(314) 839-3360
Mailing address
10 CLAYTON TER, SAINT LOUIS, MO 63131-2920
(314) 839-2347
(314) 994-9483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12586
MO
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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