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Individual

MATTHEW DENNIS BREITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
625 S NEW BALLAS RD STE 7063, SAINT LOUIS, MO 63141-8218
(314) 251-4200
Mailing address
625 S NEW BALLAS RD STE 7063, SAINT LOUIS, MO 63141-8218
(314) 251-4200

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2023016174
MO
2086S0129X
Vascular Surgery Physician
68939
MN

Other

Enumeration date
05/11/2016
Last updated
12/21/2023
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