Individual
DR. MELISSA MARIE RICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1502 WEST MEYER ROAD, WENTZVILLE, MO 63385
(636) 698-6200
(636) 698-6222
Mailing address
1502 WEST MEYER ROAD, WENTZVILLE, MO 63385
(636) 698-6200
(636) 698-6222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2011011368
MO
Other
Enumeration date
06/24/2009
Last updated
11/02/2012
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