Individual
DR. MICHAEL D DE PRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2111 N WOODBINE RD, SAINT JOSEPH, MO 64506-2440
(816) 364-6446
(816) 364-5320
Mailing address
2111 N WOODBINE RD, SAINT JOSEPH, MO 64506-2440
(816) 364-6446
(816) 364-5320
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
R5B61
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201794724
—
MO
Enumeration date
06/22/2005
Last updated
09/24/2019
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