Provider Demographics
NPI:1902633746
Name:MD REUTER - PERSONALIZED CARE LLC
Entity type:Organization
Organization Name:MD REUTER - PERSONALIZED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:REUTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-576-5550
Mailing Address - Street 1:121 SAINT LUKES CENTER DR STE 401A
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3519
Mailing Address - Country:US
Mailing Address - Phone:314-576-5550
Mailing Address - Fax:314-576-3007
Practice Address - Street 1:121 SAINT LUKES CENTER DR STE 401A
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3519
Practice Address - Country:US
Practice Address - Phone:314-576-5550
Practice Address - Fax:314-576-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty