Individual
DR. MICHAEL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 CLAYTON RD, ROOM 2234, SLU FAMILY MEDICINE RESIDENCY, SAINT LOUIS, MO 63117-1811
(314) 951-7230
Mailing address
305 E D ST, BELLEVILLE, IL 62220-4034
(618) 444-6595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0000000000000000000
MO
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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