Individual
DR. BROOKE NOELLE SHADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD, MPH
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6000
Mailing address
5700 MILENTZ AVE, SAINT LOUIS, MO 63109-3528
(314) 435-5725
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2007018113
MO
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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