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1124044359
IAN K HORNSTRA
SAINT LOUIS, MO
NPI
1124044359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MO R2H85)
Enumeration Date
2006-07-14
Last Update Date
2024-05-07
Business Address
Dr. IAN K HORNSTRA MD
915 N GRAND BLVD
SAINT LOUIS, MO 63106
Phone number: 314-652-4100
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Mailing Address
Dr. IAN K HORNSTRA MD
9858 WARSON POINTE DR
SAINT LOUIS, MO 63119-1056
Phone number: 314-239-2039
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