Edward Milan Prodanovic, MD
Dermatology Physician · Saint Louis, MO
Practice location
4901 Forest Park AveDiv Im Dermatology, Ste 502
Saint Louis, MO 63108-1495
- Phone
- (314) 747-8688
- Fax
- (888) 665-8309
NPI record
- NPI
- 1306067640
- Entity type
- Individual (Type 1)
- Enumeration date
- May 2, 2007
- Last updated
- July 16, 2025
- Certified
- April 23, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Physician Primary | 207N00000X |
2025004026 | MO |
| Internal Medicine Physician | 207R00000X |
2025004026 | MO |
Mailing address
PO Box 7412011Chicago, IL 60674-2011
- Phone
- (314) 747-8688
- Fax
- (888) 665-8309
About Dr. Prodanovic
Edward Milan Prodanovic, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 4901 Forest Park Ave, Div Im Dermatology, Ste 502, Saint Louis, MO 63108-1495. The NPI number 1306067640 was assigned on May 2, 2007 and the record was last updated on July 16, 2025.
Dr. Prodanovic lists 2 licenses in the registry: #2025004026 (MO) for Dermatology Physician; #2025004026 (MO) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Edward Milan Prodanovic, MD?
The NPI number is 1306067640.
What is the phone number of Dr. Prodanovic?
The phone number listed for the practice location is (314) 747-8688.
Where is Dr. Prodanovic located?
4901 Forest Park Ave, Div Im Dermatology, Ste 502, Saint Louis, MO 63108-1495.
What is the taxonomy code for Dr. Prodanovic?
The primary taxonomy code is 207N00000X – Dermatology Physician; 1 more listed above.
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.
Other Dermatology Physician providers in Saint Louis
- Caroline M. Mann, MD969 N Mason Rd
- Shane A. Grace, MD12855 N 40 Dr Ste 180
- Vivo Dermatology and Skin Surgery621 S New Ballas Rd Ste 597a
- Aibing Mary Guo, M.D.1225 S Grand Blvd Fl 3
- Amy C. Musiek, MD4901 Forest Park Ave
- Gillian Meade Heinecke, M.D.1755 S Grand Blvd
- Nicole M. Burkemper, M.D.1225 S Grand Blvd Fl 3
- Elizabeth Anne Rancour, MD10287 Clayton Rd Ste 360
- Laura Alexandria Upton1225 S Grand Blvd
- Travis Wiley Jackson, MD621 S New Ballas Rd Ste 3019b
- Paul Alan Klekotka, MD4921 Parkview Pl
- Taylor Lynch, MD621 S New Ballas Rd Ste 3019b