Individual
DR. MIRIAM B RODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 367-7848
Mailing address
1008 S SPRING AVE FL 2, SAINT LOUIS, MO 63110-2520
(314) 977-8462
(314) 771-8575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007030792
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036076819
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2007030792
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076819
—
IL
Enumeration date
12/18/2006
Last updated
11/04/2024
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