Individual
MARGARET SOPUCH MARCRANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 1015B, SAINT LOUIS, MO 63141-8203
(314) 251-8965
(314) 251-8966
Mailing address
621 S NEW BALLAS RD STE 1015B, SAINT LOUIS, MO 63141-8203
(314) 251-8965
(314) 251-8966
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
112886
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10961846
CAQH
MO
Enumeration date
05/16/2006
Last updated
09/12/2022
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