Individual
MS. MADELIENE ELAINE GAINERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 S. EUCLID AVENUE, WASHINGTON UNIV MED CTR/DIV OF DERMATOLOGY, ST LOUIS, MO 63110
(314) 454-8622
(314) 454-5928
Mailing address
660 S. EUCLID AVENUE, BOX 8123, WASHINGTON UNIV MED CTR/DIV OF DERMATOLOGY, ST LOUIS, MO 63110
(314) 454-8622
(314) 458-5928
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101265983
VA
207N00000X
Dermatology Physician
Primary
01086547A
IN
207N00000X
Dermatology Physician
101365
WI
207N00000X
Dermatology Physician
17422C
WY
207N00000X
Dermatology Physician
2008017205
MO
2084P0800X
Psychiatry Physician
LL29975
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679779565
—
WI
Enumeration date
06/26/2007
Last updated
03/18/2025
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