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Individual

MICHAEL F FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7345 WATSON RD, SAINT LOUIS, MO 63119-4405
(314) 752-7100
(314) 752-3284
Mailing address
7345 WATSON RD, STE 102, SAINT LOUIS, MO 63119-4405
(314) 752-7100
(314) 752-3284

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R7B37
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
156440061
MEDICARE PTAN #
MO
05
202326716
MO
Enumeration date
09/09/2005
Last updated
03/14/2017
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