Individual
JOHN D DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5721 OSAGE BEACH PKWY STE 100, OSAGE BEACH, MO 65065-3030
(573) 302-4696
(573) 302-4698
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R8E64
MO
207ND0900X
Dermatopathology Physician
R8E64
MO
Other
Enumeration date
09/30/2005
Last updated
08/14/2024
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