Individual
MICHELE C WOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3009 N BALLAS RD STE 359C, SAINT LOUIS, MO 63131-2324
(314) 996-3520
Mailing address
3009 N BALLAS RD STE 359C, SAINT LOUIS, MO 63131-2324
(314) 996-3520
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MDR1H11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18943
BCBS
MO
Enumeration date
08/19/2005
Last updated
08/07/2020
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