Individual
DR. THERESA DRALLMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111
(314) 353-5190
(314) 353-7631
Mailing address
1132 DUNWOODY DR, SAINT LOUIS, MO 63122-1716
(573) 465-0251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017019165
MO
Other
Enumeration date
04/10/2014
Last updated
07/18/2018
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