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Individual

MICHAEL KENT HOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 1ST CAPITOL DR, SUITE 260, SAINT CHARLES, MO 63301-2835
(636) 723-6800
(636) 947-6233
Mailing address
330 1ST CAPITOL DR, SUITE 260, SAINT CHARLES, MO 63301-2835
(636) 723-6800
(636) 947-6233

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5E87
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202544706
MO
Enumeration date
10/28/2006
Last updated
07/08/2007
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