Individual
FERNANDO PEREZ-MAGNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 CREEKSIDE OFFICE DR, WENTZVILLE, MO 63385-3290
(636) 887-0914
(636) 206-9291
Mailing address
207 CREEKSIDE OFFICE DR, WENTZVILLE, MO 63385-3290
(636) 887-0914
(636) 206-9291
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2000165579
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2000165579
MO
Other
Enumeration date
06/22/2005
Last updated
03/08/2023
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