OrganizationActive
Idim
NPI 1588912448 · Infectious Disease Physician · Wildwood, MO
Provider details
- NPI number
- 1588912448
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alexandre Lacasse, President(636) 273-5311
- License
- 2006028227 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1909 Larimer Trl
Wildwood, MO 63011-4801
Phone: (636) 273-5311
Approximate (ZIP-level) locationGet directions
Mailing address
1909 Larimer Trl
Wildwood, MO 63011-4801
Registry dates
- Enumerated
- 2012-08-27
- Last updated
- 2012-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.