Provider Demographics
NPI:1619034832
Name:ORGEL, STUART MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:MICHAEL
Last Name:ORGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1585 WOODLAKE DR
Mailing Address - Street 2:SUITE 218
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5740
Mailing Address - Country:US
Mailing Address - Phone:314-878-8020
Mailing Address - Fax:314-878-8030
Practice Address - Street 1:1585 WOODLAKE DR
Practice Address - Street 2:SUITE 218
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5740
Practice Address - Country:US
Practice Address - Phone:314-878-8020
Practice Address - Fax:314-878-8030
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOMO30052207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA10795Medicare UPIN