Individual
MATTHEW C MUSIELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 MEMORIAL DR STE 230B, ALTON, IL 62002-6751
(618) 463-7833
Mailing address
4 MEMORIAL DR STE 230B, ALTON, IL 62002-6751
(618) 463-7833
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036148189
IL
208600000X
Surgery Physician
2009017790
MO
Other
Enumeration date
07/01/2009
Last updated
05/15/2023
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