Individual
MADELINE HANNIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 N BALLAS RD STE 387C, SAINT LOUIS, MO 63131-2324
(314) 996-5900
(314) 996-5910
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(314) 996-5900
(314) 996-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202302979
MO
207V00000X
Obstetrics & Gynecology Physician
2025015798
MO
Other
Enumeration date
06/07/2021
Last updated
12/08/2025
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