Individual
JULIE HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7827 TOWN SQUARE AVE STE 104, O FALLON, MO 63368-7199
(636) 734-0386
Mailing address
1732 BRIARMANOR DR, LAKE ST LOUIS, MO 63367-6447
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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