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Individual

DR. BASIA MARIE MICHALSKI - MCNEELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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