Individual
DR. ANDREA MARIA ZELISKO SCHWOERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12266 DEPAUL DRIVE, SUITE 210, BRIDGETON, MO 63044
(314) 344-6800
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2551
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
17378
NV
208600000X
Surgery Physician
2016-01399
NC
208600000X
Surgery Physician
Primary
2019009603
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427375450
—
NC
05
—
NC2906
—
SC
Enumeration date
04/30/2010
Last updated
10/27/2020
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