Individual provider · Type 1 NPI

Edward Milan Prodanovic, MD

Dermatology Physician · St. Louis, MO

NPI number 1306067640 Active

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

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X2025004026 (MO)
Dermatology Physician Primary 207N00000X2025004026 (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.