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Dr. Charles M Linsenmeyer

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NPI Number Detailed Information

Provider Information:

Name: Dr. Charles M Linsenmeyer
Gender: M
Provider License Number If Given: R2608

NPI Information:

NPI: 1477556405
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 9323 PHOENIX VILLAGE PKWY
O Fallon, MO 63366
Phone Number: 6365615030
Fax Number: 6365615033

Provider Business Practice Location Address:

Address: 400 1ST CAPITOL DR STE 100
Saint Charles, MO 63301
Phone Number: 6369467050
Fax Number: 6369463368

Provider Taxonomy:

Primary: 207X00000X
Secondary (if any):
State: MO

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