Individual
MR. MICHAEL D WERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCO
Contact information
Practice address
8 KEN DR, FENTON, MO 63026-4412
(314) 630-9888
(636) 326-4242
Mailing address
8 KEN DR, FENTON, MO 63026-4412
(314) 630-9888
(636) 326-4242
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C26296
BOARD OF CERTIFICATION / ACCREDITATION, INTERNATIONAL
MO
Enumeration date
01/20/2010
Last updated
01/20/2010
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