Individual
MICHELE C MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R7035
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05427045
BLUE CROSS/BLUE SHIELD
—
01
—
1205144
UNITED HEALTH CARE
—
05
—
200044006
—
MO
01
—
204100
FAMILY HEALTH PARTNERS
—
01
—
204101
FAMILY HEALTH PARTNERS
—
01
—
312290
FIRST GUARD
—
01
—
4001736
AETNA
—
Enumeration date
07/07/2005
Last updated
01/31/2011
Update your record
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