Individual provider · Type 1 NPI

Michael K. Wolverson, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1972523322 Active

Practice location

3635 Vista Ave
St. Louis, MO 63110-2539

Call (314) 268-5783 Map

Fax (314) 268-5116

Mailing address

3691 Rutger St, Provider Enrollment
St. Louis, MO 63110-2515

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XR8237 (MO)
Diagnostic Radiology Physician Primary 2085R0202XR8237 (MO)
Diagnostic Ultrasound Physician 2085U0001XR8237 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1972523322

Michael K. Wolverson, MD's National Provider Identifier is 1972523322, issued on Jul 20, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Mar 18, 2008.