MICHEAL HAYDON SHRUM

SAINT LOUIS, MO
NPI1417546193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2022033888)
Enumeration Date2021-01-15
Last Update Date2022-09-08
Business Address
Mr. MICHEAL HAYDON SHRUM PA
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6339
Mailing Address
Mr. MICHEAL HAYDON SHRUM PA
705 WILD HORSE CREEK DR
FAIRVIEW HEIGHTS, IL 62208-2047
Phone number: 618-954-3043