Organization
FRESENIUS MEDICAL CARE OF O'FALLON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE LYNN MATTLI R.N. (CLINICAL MANAGER)
(636) 300-4036
Entity
Organization
Contact information
Practice address
4663 HIGHWAY K, O FALLON, MO 63368-8690
(636) 300-4036
(636) 300-4065
Mailing address
4663 HIGHWAY K, O FALLON, MO 63368-8690
(636) 300-4036
(636) 300-4065
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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