Individual
AMANDA PLEIMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
(573) 519-4500
Mailing address
817 SOUTH MOUNT AUBURN, CAPE GIRARDEAU, MO 63703
(573) 519-4500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017034142
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017034142
MISSOURI STATE LICENSE
MO
Enumeration date
06/26/2016
Last updated
10/09/2024
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