Individual
MICHAEL HARTWELL BROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7200 MANCHESTER ROAD, ST. LOUIS, MO 63143-2404
(314) 781-9162
(314) 781-2034
Mailing address
7200 MANCHESTER RD, SAINT LOUIS, MO 63143-2403
(314) 781-9162
(314) 781-2034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013031942
MO
Other
Enumeration date
07/16/2006
Last updated
02/11/2014
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