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Evan Merrick Sembell, MD

Student in an Organized Health Care Education/Training Program in St. Louis, MO. Individual provider (NPI-1).

NPI number1053001057
StatusActive
Last updated in NPPESMar 17, 2024

Details

NPI
1053001057
Entity type
Individual (NPI-1)
Name
Evan Merrick Sembell
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2023
Certification date
Mar 17, 2024
Last updated
Mar 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1402 S. Grand, M260
St. Louis, MO 63104

Phone 314-617-2919

Mailing address

816 E Lake Shore Dr
Springfield, IL 62712-8966

Phone 217-725-7056

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