Shane A. Grace, MD

Dermatology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1033527684

Practice location

12855 N 40 Dr Ste 180
Saint Louis, MO 63141-8657
Phone
(314) 878-5599
Fax
(314) 392-4290

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NPI record

NPI
1033527684
Entity type
Individual (Type 1)
Enumeration date
July 28, 2014
Last updated
May 5, 2023
Certified
May 5, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X 2020038382 MO

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone
(920) 663-9008
Fax
(920) 684-1439

Other practice locations (2)

  • 1223 Maple St, Farmington, MO 63640-7616 · (573) 760-0091
  • 130 Richardson Xing Ste 130, Arnold, MO 63010-6023 · (636) 489-4770

About Dr. Grace

Shane A. Grace, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 12855 N 40 Dr Ste 180, Saint Louis, MO 63141-8657. The NPI number 1033527684 was assigned on July 28, 2014 and the record was last updated on May 5, 2023.

Dr. Grace lists a license in the registry: #2020038382 (MO) for Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane A. Grace, MD?

The NPI number is 1033527684.

What is the phone number of Dr. Grace?

The phone number listed for the practice location is (314) 878-5599.

Where is Dr. Grace located?

12855 N 40 Dr Ste 180, Saint Louis, MO 63141-8657.

What is the taxonomy code for Dr. Grace?

The primary taxonomy code is 207N00000X – Dermatology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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