Individual
MR. MATTHEW ANTHONY PLISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
112 PIPER HILL DR, SUITE 9, SAINT PETERS, MO 63376-1690
(636) 441-3444
Mailing address
350 HERITAGE COMMONS CIR, O FALLON, MO 63368-4130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/01/2013
Last updated
12/01/2013
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