Individual
DR. EDWARD STANLEY NEMEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4814 SEINE DR, GODFREY, IL 62035-1622
(618) 467-8277
Mailing address
4814 SEINE DR, GODFREY, IL 62035-1622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35044
MO
207Q00000X
Family Medicine Physician
ME79868
FL
2085R0202X
Diagnostic Radiology Physician
Primary
35044
MO
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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