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Contact Information

WENDOLYN M DISALVO, MD
11133 DUNN RD
STREET
SAINT LOUIS, MO63136-6119
 Phone: 314-653-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for WENDOLYN M DISALVO · (Female)

NPI # 1871668798
Status Active
Credentials MD
Entity Individual
Enumeration date 11/24/2006
Last updated 03/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2003014836
  • MO License # 2006032134
  • MO Medicaid 202437901
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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