Individual
MICHAEL ROBERT ST LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6497 CENTERVILLE RD STE 300-301, WILLIAMSBURG, VA 23188-2047
(757) 702-8107
Mailing address
5507 VANDEMERE DR, MIDLAND, MI 48642-7282
(989) 832-9124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003873
MI
363A00000X
Physician Assistant
023072
NY
363A00000X
Physician Assistant
10002696A
IN
363A00000X
Physician Assistant
25MP00606400
NJ
363A00000X
Physician Assistant
Primary
50.005783RX
OH
Other
Enumeration date
09/25/2006
Last updated
07/23/2025
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