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:
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Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669498887 NPPES
Missouri MEDICAID 205822604

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