Organization
CHRISTINA H DOTHAGER MD LLC
Active
Other names
Serene Women's Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HATHAWAY (OFFICE ADMINISTRATOR)
(618) 292-4887
Entity
Organization
Contact information
Practice address
787 SUNSET BLVD STE 200, O FALLON, IL 62269-1960
(618) 726-2229
Mailing address
787 SUNSET BLVD STE 200, O FALLON, IL 62269-1960
(618) 726-2229
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-125618
—
IL
Enumeration date
07/09/2018
Last updated
08/06/2025
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