Individual
DAWN MATSCHINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 HIGHWAY K, O FALLON, MO 63366-8431
(636) 379-4590
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-3539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
142697
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425453503
—
MO
Enumeration date
08/31/2006
Last updated
10/23/2020
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