Healthcare Provider Details

I. General information

NPI: 1366558975
Provider Name (Legal Business Name): WILLIAM MICHAEL GEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 ARBOR LN
SAINT LOUIS MO
63119-2424
US

IV. Provider business mailing address

307 ARBOR LN
SAINT LOUIS MO
63119-2424
US

V. Phone/Fax

Practice location:
  • Phone: 314-961-6832
  • Fax: 314-961-6832
Mailing address:
  • Phone: 314-961-6832
  • Fax: 314-961-6832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR7F57
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberR7F57
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberR7F57
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: