Individual
MARK S DYKEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3691 RUTGER ST, SUITE 100, SAINT LOUIS, MO 63110-2515
(314) 977-9050
(314) 977-9770
Mailing address
1402 S GRAND BLVD, M157, SAINT LOUIS, MO 63104-1004
(314) 977-8828
(314) 977-8816
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
R3N72
MO
Other
Enumeration date
07/28/2006
Last updated
04/01/2015
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