Individual
DR. MAURICIO LISKER MELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2000146365
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204878508
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/14/2006
Last updated
05/20/2024
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