Individual
MATTHEW ROBERT BAECHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Mailing address
PO BOX 6790, CHESTERFIELD, MO 63006-6790
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2019017173
MO
Other
Enumeration date
04/15/2019
Last updated
05/14/2024
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