Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL D DE PRIEST, MD
Deactivated Sole ProprietorDR. MICHAEL D DE PRIEST, MD is a Surgery of the Hand (Plastic) healthcare provider located in SAINT JOSEPH, Missouri. NPI 1639175029 is deactivated in the NPPES registry. Verify at CMS.
Surgery of the Hand (Plastic) · SAINT JOSEPH, MO
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639175029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (0.74520547945205 yrs)
- Last Updated
- Sep 24, 2019
- Deactivated
- Mar 21, 2006
- License
-
R5B61 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2111 N WOODBINE RDSAINT JOSEPH, MO, 645062440Browse MO providers · Browse ZIP 64506
- Phone
- 8163646446
- Fax
- 8163645320
- Primary Specialty
-
Surgery of the Hand (Plastic)
2082S0105X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.