Individual
DR. DALE M STEGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16216 BAXTER RD, STE 340, CHESTERFIELD, MO 63017-4770
(636) 537-3100
(636) 537-9195
Mailing address
12847 WESTLEDGE LN, SAINT LOUIS, MO 63131-2237
(314) 966-8086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36313
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36313
STATE LICENSE NUMBER
MO
Enumeration date
01/03/2006
Last updated
02/11/2014
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