Individual
MR. MATTHEW MEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 PERUQUE CROSSING CT, SUITE 102, O FALLON, MO 63366-2362
(636) 294-5757
(636) 294-5742
Mailing address
51 CATAMARAN DR, LAKE ST LOUIS, MO 63367-2904
(636) 561-2418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DOR9J58
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00061101
RAILROAD MEDICARE
MO
Enumeration date
08/10/2006
Last updated
04/05/2011
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