| Michael B. Stotler Md Pc | |
|
425 Marshall Ave Webster Groves MO 63119-1833 | |
| (314) 706-5268 | |
| Not Available |
| Full Name | Michael B. Stotler Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 Marshall Ave, Webster Groves, Missouri |
| Authorized Official Name and Position | Michael B. Stotler (PRESIDENT) |
| Authorized Official Contact | 3147065268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B. Stotler Md Pc 425 Marshall Ave Webster Groves MO 63119-1833 Ph: (314) 706-5268 | Michael B. Stotler Md Pc 425 Marshall Ave Webster Groves MO 63119-1833 Ph: (314) 706-5268 |
| NPI Number | 1952536385 |
|---|---|
| Provider Enumeration Date | 05/29/2009 |
| Last Update Date | 05/29/2009 |
| Medicare PECOS PAC ID | 3779636824 |
|---|---|
| Medicare Enrollment ID | O20090806000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952536385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 110846 (Missouri) | Primary |
| Provider Name | Michael B Stotler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578613014 PECOS PAC ID: 0244383396 Enrollment ID: I20090806000560 |
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