Individual
DR. MICHAEL ROBERT COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
201 S. MAIN ST., VANDALIA, MO 63382-0149
(573) 594-2663
(573) 594-2663
Mailing address
PO BOX 149, 201 S. MAIN ST, VANDALIA, MO 63382-0149
(573) 594-2663
(573) 594-2663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006154
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19025
BLUE CROSS
—
01
—
222567
HEALTHLINK
—
Enumeration date
08/11/2006
Last updated
11/20/2008
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