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Michael Shadwell
NPI 1376192849 · on the registry since 2019
Practice
- Address
- 3814 Wilmington Ave
Saint Louis, MO 63116 - Phone
- (312) 420-9119
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri