Individual
MICHAEL WILLIAM NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4315 MEMORIAL DR, BELLEVILLE, IL 62226-5342
(618) 767-7023
Mailing address
4315 MEMORIAL DR, BELLEVILLE, IL 62226-5342
(618) 767-7023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-115521
IL
207Q00000X
Family Medicine Physician
Primary
2017029652
MO
208M00000X
Hospitalist Physician
036-115521
IL
Other
Enumeration date
07/10/2006
Last updated
05/23/2023
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