Individual
GINA MARUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3555 SUNSET OFFICE DR, SUITE 101, SAINT LOUIS, MO 63127-1015
(314) 966-3324
(314) 966-6327
Mailing address
3555 SUNSET OFFICE DR, SUITE 101, SAINT LOUIS, MO 63127-1015
(314) 822-5900
(314) 822-5919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MO100990
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207981200
—
MO
Enumeration date
07/18/2006
Last updated
02/04/2013
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