Individual
DR. MATTEO G LEVISETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, 5TH FLOOR, SUITE C, SAINT LOUIS, MO 63110-1032
(314) 362-3500
(314) 362-4096
Mailing address
660 S EUCLID AVE, C B 8127, SAINT LOUIS, MO 63110-1010
(314) 362-3500
(314) 362-4096
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2004004246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209101500
—
MO
Enumeration date
07/18/2006
Last updated
01/28/2009
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