Individual
MICHELLE L BEUMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 E 5TH ST, STE 312, WASHINGTON, MO 63090-3130
(636) 390-9100
(636) 390-9109
Mailing address
851 EAST FIFTH STREET, STE 312, WASHINGTON, MO 63090
(636) 390-9100
(636) 390-9109
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2002005319
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205840804
—
MO
Enumeration date
06/21/2005
Last updated
11/18/2008
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