Individual
DR. MICHAEL BRENT STOTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 HEEGE RD, SAINT LOUIS, MO 63123-3505
(314) 351-0550
(314) 962-2538
Mailing address
5500 HEEGE RD, SAINT LOUIS, MO 63123-3505
(314) 351-0550
(314) 962-2538
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
110846
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205032105
—
MI
Enumeration date
01/10/2007
Last updated
10/16/2023
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