KERIC LICKERMAN

SAINT LOUIS, MO
NPI1730716705
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2023026688)
Enumeration Date2020-03-26
Last Update Date2023-07-12
Business Address
KERIC LICKERMAN MD
3635 VISTA AVE
SAINT LOUIS, MO 63110-2500
Phone number: 314-268-7133
Mailing Address
KERIC LICKERMAN MD
3635 VISTA AVE
SAINT LOUIS, MO 63110-2500
Phone number: 314-268-7133
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