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1659402238
MARK FREDERICK BLUMENTHAL
SAINT LOUIS, MO
NPI
1659402238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MO R7718)
Enumeration Date
2007-03-08
Last Update Date
2016-03-31
Business Address
Dr. MARK FREDERICK BLUMENTHAL MD
12878 MANCHESTER RD SUITE C
SAINT LOUIS, MO 63131-1803
Phone number: 314-966-6100
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Mailing Address
Dr. MARK FREDERICK BLUMENTHAL MD
12878 MANCHESTER RD # C
SAINT LOUIS, MO 63131-1803
Phone number: 314-966-6100
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