Individual
MS. CAROLINE VICTORIA MENIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C, SAINT LOUIS, MO 63110-1032
(314) 362-8200
(314) 454-5244
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-8200
(314) 454-5244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024001178
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220138136
—
MO
Enumeration date
01/09/2024
Last updated
04/17/2025
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