Individual
MICHELLE TEDROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
650 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4939
(573) 519-4960
Mailing address
650 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4939
(573) 519-4960
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2024031815
MO
Other
Enumeration date
04/02/2020
Last updated
09/16/2024
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