Individual
MICHAEL EDWARD PRESTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10012 KENNERLY RD, SUITE 404, SAINT LOUIS, MO 63128-2197
(314) 543-5911
(314) 543-5914
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6434
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R3H59
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156440049
MEDICARE PTAN #
MO
Enumeration date
11/10/2005
Last updated
04/03/2024
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