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Contact Information

DOMINIC BISESI, DO
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO63104-1003
 Phone: 314-268-4070
 Fax: 314-268-4019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DOMINIC BISESI · (Male)

NPI # 1114505005
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/31/2021
Last updated 04/08/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2021024445
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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