Organization
MERAMEC DERMATOLOGY LLC
Active
Organization
MERAMEC DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL WILLIAM STASER MD, PHD (PARTNER)
(317) 910-5487
Entity
Organization
Contact information
Practice address
3783 VOGEL RD, ARNOLD, MO 63010-6202
(636) 751-0995
(866) 783-0115
Mailing address
3783 VOGEL RD, ARNOLD, MO 63010-6202
(636) 751-0995
(866) 783-0115
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942615265
—
MO
05
—
1992144174
—
MO
Enumeration date
12/27/2018
Last updated
11/13/2019
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