Individual
DR. CAROL RUTH MISCHNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 OLD BALLAS RD, STE 102, CREVE COEUR, MO 63141-7083
(314) 432-7546
(314) 432-7550
Mailing address
675 OLD BALLAS RD, STE 102, CREVE COEUR, MO 63141-7083
(314) 432-7546
(314) 432-7550
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R9553
MO
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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