Individual
MICHAEL EDWARD CRITCHLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-0330
(573) 472-2966
Mailing address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-0330
(573) 472-2966
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
25720
MO
207R00000X
Internal Medicine Physician
Primary
R8486
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200384220
—
MO
Enumeration date
10/31/2005
Last updated
05/18/2010
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