Individual
GINA MARIE VERNACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3417 ANDERSON HEALTHCARE DR STE 200, EDWARDSVILLE, IL 62025-7784
(618) 288-8500
(618) 288-8501
Mailing address
6810 STATE ROUT 162, BOX 215, MARYVILLE, IL 62062
(618) 391-6495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT017413
PA
Other
Enumeration date
06/21/2016
Last updated
08/28/2024
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