Individual provider · Type 1 NPI
Edward Milan Prodanovic, MD
Dermatology Physician · St. Louis, MO
Practice location
4901 Forest Park Ave, Div Im Dermatology, Ste 502
St. Louis, MO 63108-1495
Fax (888) 665-8309
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 2025004026 (MO) |
| Dermatology Physician Primary | 207N00000X | 2025004026 (MO) |
Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…
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About NPI 1306067640
Edward Milan Prodanovic, MD's National Provider Identifier is 1306067640, issued on May 2, 2007. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 16, 2025.