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Individual

MICHAEL C COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4030 CHOUTEAU AVE, SAINT LOUIS, MO 63110-1754
(636) 282-0380
Mailing address
1153 E GANNON DR, FESTUS, MO 63028-2611

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2020033685
MO

Other

Enumeration date
05/08/2023
Last updated
10/16/2023
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