Individual
MICHAEL DANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R6J55
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100375
BCBS
—
01
—
1200099
UHC FLORISSANT
MO
01
—
1200683
UHC
MO
01
—
132482
HEALTHLINK
MO
01
—
188961
GHP
MO
01
—
4259417
AETNA
MO
Enumeration date
11/04/2005
Last updated
09/21/2012
Update your record
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