NPI 1083684468

Adriana M Canas-Polesel, MD

Practitioner Obstetrics & Gynecology Physician Fenton, MO

Practice location

Address: 1203 Smizer Mill Rd STE 106, Fenton, MO 63026-3483
Phone: (636) 717-1390
Fax: (636) 717-1395

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 2004022976 (MO)

Other Obstetrics & Gynecology providers in Missouri →

Registry record

NPI: 1083684468
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2006
Record last updated: 15 Feb 2012

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.