Mutch, Matthew G
Mutch, Matthew G is an individual health care provider with primary practice located at 1044 N Mason Rd Div Surg Colon/Rectal, Ste 310, Saint Louis MO 63141-6431. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Mutch, Matthew G can be contacted via phone (314) 454-7177.Contact Information
Primary practice address
1044 N Mason Rd Div Surg Colon/Rectal, Ste 310
Saint Louis MO 63141-6431
Phone: (314) 454-7177
Fax: (888) 425-7946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 106142 | Missouri |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 106142 | Missouri |
Profile Details
| NPI number | 1669498887 |
|---|---|
| LBN Legal business name | Mutch, Matthew G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 25th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669498887 | NPPES |
| Missouri | MEDICAID | 205822604 |
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