Individual
OSAMUEDE OSEMWOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8000 MARYLAND AVE STE 760, SAINT LOUIS, MO 63105-3752
(314) 474-0114
Mailing address
8000 MARYLAND AVE STE 760, SAINT LOUIS, MO 63105-3752
(314) 474-0114
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2013019941
MO
207N00000X
Dermatology Physician
Primary
2017039492
MO
Other
Enumeration date
06/21/2013
Last updated
10/05/2022
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