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Individual

MATTHEW BAUMGARTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1272 TOWN AND COUNTRY CROSSING DR, T1952, CHESTERFIELD, MO 63017-0605
(636) 591-0235
Mailing address
1272 TOWN AND COUNTRY CROSSING DR, T1952, CHESTERFIELD, MO 63017-0605

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011024487
MO

Other

Enumeration date
08/17/2011
Last updated
08/17/2011
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