Individual
DR. MICHAEL ROHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2572 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3131
(314) 892-3321
(314) 845-9603
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02739
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312613516
—
MO
01
—
410040187
RAILROAD MEDICARE
MO
Enumeration date
06/23/2005
Last updated
07/19/2011
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