Individual
DR. MATTHEW DAVID MOSLENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 S 3RD ST, SUITE 400, BELLEVILLE, IL 62220
(618) 233-7880
Mailing address
1037 YALE AVE, RICHMOND HEIGHTS, MO 63117-1820
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.124277
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
125-057058
IL
Other
Enumeration date
06/19/2009
Last updated
05/29/2018
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