Marcus, Michael

Marcus, Michael is an individual health care provider with primary practice located at 10296 Big Bend Rd Suite 205, Saint Louis MO 63122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Marcus, Michael can be contacted via phone (314) 315-9911.

Contact Information

Primary practice address
10296 Big Bend Rd Suite 205 Saint Louis MO 63122
Phone: (314) 315-9911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X R5P91 Missouri

Profile Details

NPI number 1588622773
LBN Legal business name Marcus, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588622773 NPPES
Missouri Other P00199673 PALMETTO RR MEDICARE

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