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Individual

MICHELE M. THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15838 FOUNTAIN PLAZA DR STE A, CHESTERFIELD, MO 63017-7469
(636) 484-5277
Mailing address
15838 FOUNTAIN PLAZA DR STE A, CHESTERFIELD, MO 63017-7469
(636) 484-5277

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036108858
IL
207Q00000X
Family Medicine Physician
Primary
2005022502
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
$$$$$$$$$
IL
01
000000012859
ESSENCE
MO
01
000000013035
ESSENCE COLUMBIA IL
MO
01
0107929
UHC
IL
01
08221955
BLUE SHIELD
IL
05
1326020041
MO
01
202018
BCBS
IL
01
265231
GHP
IL
05
376020408401
IL
01
617915
HEALTHLINK
IL
01
7177512
AETNA
IL
01
H45950
MERCY
MO
Enumeration date
11/17/2005
Last updated
05/16/2023
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