Individual
MADELINE KAY GIACALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10012 KENNERLY RD STE 405, SAINT LOUIS, MO 63128-2197
(314) 378-9864
Mailing address
10012 KENNERLY RD STE 405, SAINT LOUIS, MO 63128-2197
(314) 378-9864
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125.062601
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
2017016481
MO
Other
Enumeration date
06/25/2013
Last updated
03/17/2018
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