Individual
DR. JARED VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO 63141-7029
(314) 432-1903
(314) 432-5105
Mailing address
11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO 63141-7029
(314) 432-1903
(314) 432-5105
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
07001116A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2012026028
MO
Other
Enumeration date
03/29/2011
Last updated
08/02/2012
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