Individual
MICHAEL JAMES MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7201 E 147TH ST, GRANDVIEW, MO 64030-4204
(816) 348-2260
(913) 495-3751
Mailing address
8550 MARSHALL DR STE 220, LENEXA, KS 66214-9836
(816) 334-8226
(913) 495-3751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025024001
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
08/08/2025
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