Individual
MICHAEL DOERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2059 HAPPY LN, SAINT LOUIS, MO 63125-3001
(314) 623-0733
Mailing address
2059 HAPPY LN, SAINT LOUIS, MO 63125-3001
(314) 623-0733
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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