Individual
MATTHEW FRANCIS BIALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117
(314) 781-4772
(314) 645-8771
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 781-4772
(314) 645-8771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2018017661
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018017661
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
04/04/2017
Last updated
06/09/2021
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