Individual
MICHEL JOHN ADONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104
(314) 268-4095
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4095
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Q8195
TX
208000000X
Pediatrics Physician
Primary
2018005742
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2013
Last updated
02/22/2023
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