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Michel John Adonis, M.D.

Pediatrics in Saint Louis, MO. Individual provider (NPI-1).

NPI number1497190854
StatusActive
Last updated in NPPESFeb 22, 2023

Details

NPI
1497190854
Entity type
Individual (NPI-1)
Name
Michel John Adonis
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 29, 2013
Certification date
Feb 22, 2023
Last updated
Feb 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics2018005742MOYes
207PP0204X Emergency Medicine, Pediatric Emergency MedicineQ8195TX
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1465 S Grand Blvd
Saint Louis, MO 63104

Phone 314-268-4095

Mailing address

1465 S Grand Blvd
Saint Louis, MO 63104-1003

Phone 314-268-4095

Other practice locations

1000 W 10th St
Rolla, MO 65401-2905

Phone 573-364-9000

1000 W 10th St
Rolla, MO 65401-2905

Phone 573-458-8899

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