Gainers, Madeliene Elaine

Gainers, Madeliene Elaine is an individual health care provider with primary practice located at 660 S. Euclid Avenue Washington Univ Med Ctr/Div Of Dermatology, St Louis MO 63110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Gainers, Madeliene Elaine can be contacted via phone (314) 454-8622.

Contact Information

Primary practice address
660 S. Euclid Avenue Washington Univ Med Ctr/Div Of Dermatology St Louis MO 63110
Phone: (314) 454-8622
Fax: (314) 454-5928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2008017205 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101265983 Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 101365 Wisconsin
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01086547A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X LL29975 South Carolina

Profile Details

NPI number 1679779565
LBN Legal business name Gainers, Madeliene Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jan 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679779565 NPPES
Wisconsin MEDICAID 1679779565

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