Individual
MICHELLE ELIZABETH GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S NEW BALLAS RD STE 1400, SAINT LOUIS, MO 63141-8221
(314) 251-7955
Mailing address
4414 COVEFLOWER CT, LEBANON, OH 45036-1759
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2018004246
MO
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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