Individual
DAVID M DEISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 S SILVER SPRINGS RD, STE C, CAPE GIRARDEAU, MO 63703-6311
(573) 334-4263
(573) 334-3699
Mailing address
319 S SILVER SPRINGS RD, STE C, CAPE GIRARDEAU, MO 63703-6311
(573) 334-4263
(573) 334-3699
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
108028
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207997016
—
MO
01
—
8872
BLUE CROSS BLUE SHIELD
MO
Enumeration date
09/21/2006
Last updated
07/08/2007
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