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Individual

DANIEL JOSEPH THOUVENOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
784 WALL ST STE C, O FALLON, IL 62269-2088
(618) 236-7444
(618) 726-2662
Mailing address
5139 MATTIS RD STE 102, SAINT LOUIS, MO 63128-2250
(314) 909-1920
(314) 909-1980

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016.005683
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
2013033616
MO

Other

Enumeration date
06/02/2013
Last updated
03/09/2020
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