Individual
DR. DAVID MICHAEL VERMETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241, SAINT LOUIS, MO 63108-1495
(314) 362-5060
(314) 362-6959
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-5060
(314) 362-6959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023013959
MO
208000000X
Pediatrics Physician
2023013959
MO
208D00000X
General Practice Physician
Primary
2023013959
MO
208M00000X
Hospitalist Physician
2023013959
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124875
—
MO
Enumeration date
05/31/2016
Last updated
04/17/2025
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