Individual
DR. ROBERT BRADLEY MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 THE LEGENDS PKWY, EUREKA, MO 63025-3801
(636) 938-3399
(636) 938-9609
Mailing address
20 THE LEGENDS PKWY, EUREKA, MO 63025-3801
(636) 938-3399
(636) 938-9609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006004440
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992735237
—
MO
01
—
P00657168
RAILROAD MEDICARE
MO
Enumeration date
07/03/2006
Last updated
02/27/2018
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