Individual
DR. MICHAEL E THUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
450 N LINDBERGH BLVD, SUITE 105, SAINT LOUIS, MO 63141-7848
(314) 991-1400
(314) 569-1358
Mailing address
450 N LINDBERGH BLVD, SUITE 105, SAINT LOUIS, MO 63141-7848
(314) 991-1400
(314) 569-1358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12958
MO
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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