Individual
DR. MICHAEL ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2943 ST. LOUIS GALLERIA, ST. LOUIS, MO 63117-1113
(314) 862-1525
(314) 863-6218
Mailing address
2943 ST. LOUIS GALLERIA, ST. LOUIS, MO 63117-1113
(314) 862-1525
(314) 863-6218
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2663
MO
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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