Individual
MICHAEL DAVID METZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14824 BROOK HILL DR, CHESTERFIELD, MO 63017-7931
(319) 354-3998
(319) 354-1398
Mailing address
14824 BROOK HILL DR, CHESTERFIELD, MO 63017-7931
(319) 354-3998
(319) 354-1398
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31540
IA
207Q00000X
Family Medicine Physician
31540
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218628
—
IA
01
—
23654
BLUE CROSS BLUE SHIELD
IA
Enumeration date
04/05/2006
Last updated
09/03/2013
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