MICHAEL K WOLVERSON MD NPI 1972523322

NPI Information

NPI: 1972523322
Provider Name: MICHAEL K WOLVERSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3635 VISTA AVE
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 268-5783
Get Directions

Michael K Wolverson, MD is a diagnostic radiology radiology in Saint Louis, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael K Wolverson, MD NPI is 1972523322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3635 VISTA AVE
SAINT LOUIS, MO
ZIP 63110-539
Phone: (314) 268-5783
Fax: (314) 268-5116

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	R8237	MISSOURI	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	R8237	MISSOURI	No
3	2085R0202X	Radiology	Diagnostic Radiology	R8237	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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