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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADELINE HANNIBAL, MD

Active Sole Proprietor

MADELINE HANNIBAL, MD is a Internal Medicine healthcare provider located in SAINT LOUIS, Missouri. NPI 1770150955 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SAINT LOUIS, MO

Registration Details

NPI Number
1770150955
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2021 (5.1929895370461 yrs)
Last Updated
Dec 8, 2025
Licenses
2025015798 (MO)
202302979 (MO)
Sole Proprietor
Yes

Practice Information

Address
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO, 631312324
Browse MO providers · Browse ZIP 63131
Phone
3149965900
Fax
3149965910
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in SAINT LOUIS, MO

Name Credential NPI
DR. DAVID J PRELUTSKY MD 1457354276
DR. EDMOND S WEISBART MD 1467455964
DR. CLARENCE E. BELL JR. M.D. 1063418291
DR. EMMANUEL A VENKATESAN MD 1730185745
DR. WALTER DAVID KISTLER JR. M.D. 1922005834
JOHN E VERNON MD 1891793105
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.