Organization
MICHAEL B. STOTLER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B. STOTLER MD (PRESIDENT)
(314) 706-5268
Entity
Organization
Contact information
Practice address
425 MARSHALL AVE, WEBSTER GROVES, MO 63119-1833
(314) 706-5268
Mailing address
425 MARSHALL AVE, WEBSTER GROVES, MO 63119-1833
(314) 706-5268
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
110846
MO
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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