Individual
MR. JOAN M MCGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,CDE
Contact information
Practice address
444 S BRENTWOOD BLVD, CLAYTON, MO 63105-2521
(314) 725-1888
(314) 725-1444
Mailing address
657 CLARK AVE, WEBSTER GROVES, MO 63119-1861
(314) 962-2833
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
053438
MO
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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