Individual
DR. CHARLES MICHAEL SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12680 OLIVE BLVD STE 100, SAINT LOUIS, MO 63141-6322
(314) 251-8900
(314) 251-8901
Mailing address
12680 OLIVE BLVD STE 100, SAINT LOUIS, MO 63141-6322
(314) 251-8900
(314) 251-8901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023026701
MO
Other
Enumeration date
06/27/2022
Last updated
08/15/2025
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