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Individual

DR. MICHAEL L SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10012 KENNERLY RD, SUITE 202, SAINT LOUIS, MO 63128-2197
(314) 692-2807
(314) 991-0727
Mailing address
10012 KENNERLY RD, SUITE 202, SAINT LOUIS, MO 63128-2197
(314) 692-2807
(314) 991-0727

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
104133
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
132400
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206837312
MO
Enumeration date
07/20/2005
Last updated
05/24/2016
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