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Individual

SEAN T MCLAUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12277 DE PAUL DR, SUITE 504, BRIDGETON, MO 63044-2516
(314) 298-3893
(314) 851-4408
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 298-3893
(314) 851-4408

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
103473
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000011298
ESSENCE
MO
01
0400966
UHC MEDICARE COMPLETE
MO
01
0404100
UHC
MO
01
10708
BCBS
MO
05
208225029
MO
01
222031
GHP
MO
01
332943
HEALTHLINK
MO
01
5344454
AETNA
MO
01
D04067
EXCLUSIVE CHOICE
MO
01
G31690
MERCY
MO
Enumeration date
11/09/2005
Last updated
10/24/2012
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