Individual
MICHELLE R DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8888 LADUE RD STE 220, SAINT LOUIS, MO 63124-2056
(314) 644-3336
(314) 644-5606
Mailing address
8888 LADUE RD STE 220, SAINT LOUIS, MO 63124-2056
(314) 644-3336
(314) 644-5606
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
102273
MO
Other
Enumeration date
06/20/2005
Last updated
02/26/2021
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