Organization
RIVER SIRENS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELENE P. MUSIELAK MD,FACP,FAAP,DABOM (MEDICAL DIRECTOR)
(314) 377-2510
Entity
Organization
Contact information
Practice address
209 W 2ND ST, WASHINGTON, MO 63090-2132
(636) 283-0437
Mailing address
209 W 2ND ST, WASHINGTON, MO 63090-2132
(636) 283-0437
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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