DR. Michael Harry Mastromichalis, M.D.

NPI #1346444700 in Fenton, Missouri

Provider Information

NPI Number: 1346444700
Entity Type: Individual
Name: DR. Michael Harry Mastromichalis, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Jun 12, 2007
Last Updated: Nov 5, 2020

Practice Location

Address: 1011 BOWLES AVE STE 425
City: Fenton
State: Missouri
ZIP Code: 63026-2384
Phone: (636) 496-5030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Organizations

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