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1568499283
MICHAEL J DEROSA
SAINT LOUIS, MO
NPI
1568499283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MO R1F40)
Enumeration Date
2006-06-27
Last Update Date
2019-07-17
Business Address
Dr. MICHAEL J DEROSA M.D.
621 S NEW BALLAS RD SUITE 101A
SAINT LOUIS, MO 63141-8232
Phone number: 314-569-2751
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Mailing Address
Dr. MICHAEL J DEROSA M.D.
12639 OLD TESSON RD SUITE 115
SAINT LOUIS, MO 63128-2786
Phone number: 314-849-0311
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