Individual
MICHAEL A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12122 TESSON FERRY RD, STE 101, SAINT LOUIS, MO 63128-1772
(314) 842-6183
(314) 842-6184
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
112235
MO
Other
Enumeration date
06/22/2005
Last updated
03/16/2021
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