Individual
DR. MICHAEL E. NELLESTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1341 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 291-4149
(816) 897-3969
Mailing address
1341 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 291-4149
(816) 897-3969
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
101630
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208881938
—
MO
Enumeration date
07/24/2006
Last updated
09/29/2016
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