Organization
DR. PETRE I ANGUELININ, LLC
Active
Organization
DR. PETRE I ANGUELININ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ANGELIN MD (PRESIDENT)
(314) 655-4486
Entity
Organization
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 207-0277
Mailing address
PO BOX 411582, SAINT LOUIS, MO 63141-3582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003010400
MO
Other
Enumeration date
09/16/2006
Last updated
10/08/2020
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