Individual
ANDRES PERALTA-WERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15876 FOUNTAIN PLAZA DR, ELLISVILLE, MO 63011
(636) 251-5556
Mailing address
15876 FOUNTAIN PLAZA DR, ELLISVILLE, MO 63011
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
2025053729
MO
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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