Individual
DR. BASIA MARIE MICHALSKI - MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
969 N MASON RD, DIV IM DERMATOLOGY, STE 200, SAINT LOUIS, MO 63141-6282
(314) 996-8810
(888) 682-0525
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-8810
(888) 682-0525
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2022016236
MO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2022016236
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061526
—
MO
Enumeration date
06/27/2017
Last updated
04/21/2025
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