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Dr. Mark Stanley Wasserman, MD
Obstetrics & Gynecology Physician in Sullivan, Missouri
NPI 1225130933

Mark Stanley Wasserman is a Obstetrics & Gynecology Physician based in Saint Louis, MO. Mark Stanley Wasserman practices in Sullivan, MO and has the professional credentials of MD. The NPI Number for Mark Stanley Wasserman is 1225130933 and holds a License No. R2F91 (Missouri).

The current practice location address for Mark Stanley Wasserman is 965 Mattox Dr, Sullivan, MO and can be reached out via phone at 573-860-6000 and via fax at 573-860-6016.

Location: 965 Mattox Dr, Sullivan, MO, 63141-8512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225130933
Provider Name
Mark Stanley Wasserman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
965 Mattox Dr, Sullivan, MO, 63141-8512
Phone Number
573-860-6000
Fax Number
573-860-6016
Provider Enumeration Date
09/02/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036104995 05 IL
institution
Provider Business Practice Location Address Details
Address
965 Mattox Dr
City
Sullivan
State
Missouri
Zip
63080-2365
Phone Number
573-860-6000
Fax Number
573-860-6016
person
Provider Business Mailing Address Details
Address
965 Mattox Dr
City
Sullivan
State
Missouri
Zip
63080-2365
Phone Number
573-860-6000
Fax Number
573-860-6016
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
R2F91 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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