Individual
DR. MICHAEL JAMES HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(844) 735-4710
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(844) 735-4710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024036759
MO
207R00000X
Internal Medicine Physician
51841
AZ
207R00000X
Internal Medicine Physician
99102096A
IN
Other
Enumeration date
11/17/2010
Last updated
09/16/2024
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