MEDICARE: MICHELE TURNER DAOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	2019002746	MO

General Provider Information

NPI Number	:	1356025365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE TURNER DAOM

Provider Business Mailing Address
First Line	:	3630 S JEFFERSON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63118-3926
Country	:	US
Telephone Number	:	619-502-1558
Fax Number	:	314-722-4326

Provider Business Practice Location Address
First Line	:	2006 S 39TH ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-3717
Country	:	US
Telephone Number	:	314-772-4325
Fax Number	:	314-772-4326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2023
Last Update Date	:	06/12/2023

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Directions to “ MICHELE TURNER DAOM” Practice Location

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