Individual
MICHAEL ALAN BROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 S MERAMEC AVE, SUITE 932T, CLAYTON, MO 63105-3511
(314) 432-7545
(314) 863-2114
Mailing address
225 S MERAMEC AVE, SUITE 932T, CLAYTON, MO 63105-3511
(314) 432-7545
(314) 863-2114
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD100627
MO
Other
Enumeration date
11/03/2006
Last updated
10/28/2011
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