Individual
DALE ESSMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
210 N MARKET ST, MILAN, MO 63556-1316
(660) 265-4456
(660) 265-4627
Mailing address
210 N MARKET ST, MILAN, MO 63556-1316
(660) 265-4456
(660) 265-4627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8F81
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242288934
—
MO
01
—
24451
BC/BS
MO
01
—
28727
BC/BS OF ILLINOIS
IL
01
—
28727
ALLIANCE
MO
05
—
501720809
—
MO
05
—
591720800
—
MO
Enumeration date
10/23/2006
Last updated
05/09/2008
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