Individual
ADRIENNE SCHUPBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3024 E EMPIRE ST STE E&F, BLOOMINGTON, IL 61704-5402
(309) 451-3376
Mailing address
110 BUSINESS PARK DR STE C, BRANSON, MO 65616-7449
(417) 336-0033
(417) 239-0127
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036.131823
IL
207N00000X
Dermatology Physician
Primary
2022005842
MO
Other
Enumeration date
05/19/2009
Last updated
06/14/2022
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