Individual
MICHAEL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-1914
Mailing address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-1914
(314) 977-1628
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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