IndividualActive
Michael Cole, MD
NPI 1104515857 · Adult Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1104515857
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2020033685 (MO)
Mailing address
1153 E Gannon Dr
Festus, MO 63028-2611
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2023-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.