Individual
NATALIE L SEMCHYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 S GRAND, ST LOUIS, MO 63104
(314) 256-3400
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2004021607
MO
Other
Enumeration date
09/20/2006
Last updated
01/09/2008
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