Individual
DR. MICHAEL P. CHOUINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 431-0330
(573) 472-2966
Mailing address
PO BOX 1068, SIKESTON, MO 63801-1068
(573) 431-0330
(573) 472-2966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR3939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283466017 1
—
IL
01
—
124071
HEALTHLINK NUMBER
MO
01
—
26244
BCBS MO NUMBER
MO
01
—
43074141063801A064
TRICARE NUMBER
MO
Enumeration date
01/05/2006
Last updated
07/09/2007
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