Individual
DR. MICHELE A. BROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
110932
MO
208M00000X
Hospitalist Physician
Primary
036170674
IL
208M00000X
Hospitalist Physician
110932
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205162316
—
MO
01
—
431560263010
TRICARE
MO
01
—
P00314603
RAILROAD MEDICARE
MO
Enumeration date
06/15/2006
Last updated
10/07/2024
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