NATHAN JOSEPH VENGALIL

SAINT LOUIS, MO
NPI1558984146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: MI  4351046358)
Enumeration Date2020-05-19
Last Update Date2021-07-13
Business Address
Dr. NATHAN JOSEPH VENGALIL M.D.
660 S EUCLID AVE
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-8180
Mailing Address
Dr. NATHAN JOSEPH VENGALIL M.D.
2098 GARRY DR
TROY, MI 48083-2338
Phone number: 313-806-2476
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