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Individual

MICHELE SUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10700 MANCHESTER RD STE D, SAINT LOUIS, MO 63122-1307
(148) 226-8303
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 822-6830
(314) 822-6859

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023010437
MO

Other

Enumeration date
06/19/2020
Last updated
08/04/2023
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