MATTHEW A LANGE

SAINT LOUIS, MO
NPI1063775716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MO  2018016254)
Enumeration Date2012-06-18
Last Update Date2023-10-03
Business Address
MATTHEW A LANGE DO
456 N NEW BALLAS RD STE 386
SAINT LOUIS, MO 63141-6846
Phone number: 314-887-7605
Mailing Address
MATTHEW A LANGE DO
456 N NEW BALLAS RD STE 386
SAINT LOUIS, MO 63141-6846
Phone number: 314-887-7605
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