Individual
DR. MONALISA MULLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED HOSPITALIST MED, SAINT LOUIS, MO 63110-1002
(314) 454-2076
(314) 747-8953
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-2076
(314) 747-8953
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
112918
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
112918
MO
208M00000X
Hospitalist Physician
Primary
112918
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203922208
—
MO
Enumeration date
09/27/2006
Last updated
04/17/2025
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