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Individual

MICHAEL JOSEPH LATTEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10701 NALL AVE, SUITE 200, OVERLAND PARK, KS 66211-1358
(913) 381-5225
(913) 901-0186
Mailing address
12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2786
(913) 381-5225
(913) 901-0186

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301080457
MI
207X00000X
Orthopaedic Surgery Physician
Primary
44813
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3045805
OH
05
611377
AZ
Enumeration date
05/09/2007
Last updated
07/26/2019
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