Individual
DR. MICHAELE MARY PENKOSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
24 LAKE FOREST DR, SAINT CHARLES, MO 63301-4524
(314) 397-6244
Mailing address
24 LAKE FOREST DR, SAINT CHARLES, MO 63301-4524
(314) 397-6244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9818
MO
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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