Individual
MRS. MICHELE NEUDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 DOUGHERTY FERRY RD STE 104, SAINT LOUIS, MO 63122-3356
(148) 216-8893
(314) 457-9341
Mailing address
6651 CHIPPEWA ST STE 322, SAINT LOUIS, MO 63109-2532
(314) 457-9338
(314) 457-9341
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
076292
MO
Other
Enumeration date
10/26/2005
Last updated
08/28/2020
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