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Individual

DOUGLAS MATIJAKOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
675 OLD BALLAS RD STE 100, SAINT LOUIS, MO 63141-7083
(314) 733-9009
(314) 733-9008
Mailing address
675 OLD BALLAS RD STE 100, SAINT LOUIS, MO 63141-7083
(314) 733-9009
(314) 733-9008

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2023010223
MO

Other

Enumeration date
04/17/2017
Last updated
08/23/2023
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