NPI 1033527684

Shane a Grace, MD

Practitioner Dermatology Physician Saint Louis, MO

Practice location

Address: 12855 N 40 Dr STE 180, Saint Louis, MO 63141-8657
Phone: (314) 878-5599
Fax: (314) 392-4290
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 2020038382 (MO)

Other Dermatology providers in Missouri →

Registry record

NPI: 1033527684
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2014
Record last updated: 5 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.