IndividualActive
Michael Boedefeld, MD
NPI 1043299548 · Pain Medicine (Anesthesiology) Physician · Fenton, MO
Provider details
- NPI number
- 1043299548
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2004009978 (MO)
Practice location
1055 Bowles Ave Ste 202
Fenton, MO 63026-2308
Phone: (636) 386-7222
Fax: (636) 386-7810
Mailing address
4800 Mexico Rd Ste 101
Saint Peters, MO 63376-1666
Registry dates
- Enumerated
- 2006-01-12
- Last updated
- 2020-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.