Individual
DR. MICHAEL FREDRICK SOOKOCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A, SAINT LOUIS, MO 63110-1032
(314) 514-3500
(314) 878-7678
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 514-3500
(314) 878-7678
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2020010476
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062508
—
MO
Enumeration date
06/30/2016
Last updated
04/17/2025
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