Individual
DR. SUSAN M MEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3169
(573) 231-3709
Mailing address
100 MEDICAL DR, P.O. BOX 311, HANNIBAL, MO 63401-6877
(573) 231-3169
(573) 231-3709
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
109971
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208241901
—
MO
Enumeration date
01/12/2006
Last updated
03/03/2021
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