Stratton, Michael Slade

Stratton, Michael Slade is an individual health care provider with primary practice located at 4901 Forest Park Ave Div Im Dermatology, Ste 502, Saint Louis MO 63108-1495. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Stratton, Michael Slade can be contacted via phone (314) 273-3376.

Contact Information

Primary practice address
4901 Forest Park Ave Div Im Dermatology, Ste 502 Saint Louis MO 63108-1495
Phone: (314) 273-3376
Fax: (866) 422-3017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2019020171 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2019020171 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2019020171 Missouri

Profile Details

NPI number 1376852087
LBN Legal business name Stratton, Michael Slade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2010
Last updated Apr 25th, 2024 - about 8 months 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 1376852087 NPPES
Missouri MEDICAID 200108742

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