Individual
DR. MICHAEL ROBERT COLE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
374 S GRAND BLVD APT 134A, SAINT LOUIS, MO 63103-2461
(330) 437-6025
Mailing address
374 S GRAND BLVD APT 134A, SAINT LOUIS, MO 63103-2461
(330) 437-6025
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2021016895
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/12/2021
Last updated
05/12/2021
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