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1104515857
MICHAEL C COLE
SAINT LOUIS, MO
NPI
1104515857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: MO 2020033685)
Enumeration Date
2023-05-08
Last Update Date
2023-10-16
Business Address
MICHAEL C COLE MD
4030 CHOUTEAU AVE
SAINT LOUIS, MO 63110-1754
Phone number: 636-282-0380
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Mailing Address
MICHAEL C COLE MD
1153 E GANNON DR
FESTUS, MO 63028-2611
Phone number:
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