Individual
DENISE L. JANOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 S. NEW BALLAS ROAD, SUITE 2030, SAINT LOUIS, MO 63141
(314) 251-1700
(314) 251-1701
Mailing address
625 S. NEW BALLAS ROAD, SUITE 2030, SAINT LOUIS, MO 63141
(314) 251-1700
(314) 251-1701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R1C08
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245257211
—
MO
05
—
202464300
—
MO
01
—
P00776604
RAILROAD MEDICARE
MO
Enumeration date
07/16/2006
Last updated
12/10/2014
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