Individual
MICHAELA OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-3400
Mailing address
1755 S GRAND BLVD, SAINT LOUIS, MO 63104-1540
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2025023132
MO
207R00000X
Internal Medicine Physician
125.084123
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2024
Last updated
06/22/2025
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