Provider Demographics
NPI:1407157837
Name:WEISSLER, ANNE ELIZABETH (PA)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:ELIZABETH
Last Name:WEISSLER
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Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-454-2714
Mailing Address - Fax:833-642-0691
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:DIV IM DERMATOLOGY, STE 2A AND 2D
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-2714
Practice Address - Fax:833-642-0691
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2024-04-25
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Provider Licenses
StateLicense IDTaxonomies
MO2010036114363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO220024374Medicaid