Individual
DR. EDWARD MILAN PRODANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE, DIV IM DERMATOLOGY, STE 502, SAINT LOUIS, MO 63108-1495
(314) 747-8688
(888) 665-8309
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-8688
(888) 665-8309
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2025004026
MO
207R00000X
Internal Medicine Physician
2025004026
MO
Other
Enumeration date
05/02/2007
Last updated
07/16/2025
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