Individual
MADELINE SUPPIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
980 W IRONWOOD DR STE 306, COEUR D ALENE, ID 83814-2668
(208) 625-4970
(208) 625-4991
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 781-4772
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3171569
ID
Other
Enumeration date
03/22/2021
Last updated
01/06/2026
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