Individual
DR. MICHAEL R CHICOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C, SAINT LOUIS, MO 63110-1032
(314) 362-3577
(314) 367-2017
Mailing address
660 S EUCLID AVE, CB 8057, SAINT LOUIS, MO 63110-1010
(314) 362-3577
(314) 747-2279
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
114764
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203828603
—
MO
Enumeration date
07/18/2006
Last updated
06/28/2022
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