Individual
DAN MECKLENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2144 COURTLEIGH LN, SUITE 100, CHESTERFIELD, MO 63017-7623
(314) 871-9306
Mailing address
PO BOX 4202, CHESTERFIELD, MO 63006-4202
(314) 871-9306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
04/10/2009
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