Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael K Wolverson, MD

Individual provider Body Imaging Physician · NPI 1972523322

Michael K Wolverson, MD is a Body Imaging Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone: (314) 268-5783
Fax: (314) 268-5116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence R8237 (MO)
Body Imaging Physician Taxonomy 2085B0100X · Licence R8237 (MO)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence R8237 (MO)

Record details

NPI number1972523322
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESMarch 18, 2008
Mailing address3691 Rutger St, Provider Enrollment, Saint Louis, MO 63110-2515

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