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Individual

DR. MARIA JEAN CANIZARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 MEDICAL PLZ, MOB 2, SUITE 210, LAKE ST LOUIS, MO 63367-1481
(636) 561-0026
(636) 561-0023
Mailing address
300 MEDICAL PLZ, MOB 2, SUITE 210, LAKE ST LOUIS, MO 63367-1481
(636) 561-0026
(636) 561-0023

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2002031471
MO

Other

Enumeration date
02/08/2007
Last updated
03/26/2012
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