Individual
DR. MICHELE MARIE ESTABROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED INFECTIOUS DISEASE, SAINT LOUIS, MO 63110-1002
(314) 454-6050
(855) 887-7850
Mailing address
1 CHILDRENS PL, MSC 8515-87-1200, SAINT LOUIS, MO 63110-1002
(314) 454-6050
(855) 887-7850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2008022568
MO
2080P0208X
Pediatric Infectious Diseases Physician
Primary
2008022568
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201180601
—
MO
Enumeration date
08/30/2006
Last updated
11/15/2021
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