Fred Wayne Gaskin MD

NPI 1063539252 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063539252
Gender Male
Enumeration Date 03/23/2007
Last Updated 12/27/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
309 GARRETT ST
FREDERICKTOWN MO, 63645-1084, US
Phone (573) 334-1100
Fax (573) 651-4345
Business Location
402 S SILVER SPRINGS RD
CAPE GIRARDEAU MO, 63703-7536, US
Phone (573) 334-1100
Fax (573) 651-4345
Toxanomy
Taxonomy Code 2084P0800X
License State Missouri
License Number 34748
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According to our database, Dr. Fred Wayne Gaskin MD NPI is 1063539252, taxonomy code is 2084P0800X and license number is 34748, license state is located at Missouri. Fred Wayne Gaskin MD physically located at 309 Garrett St, Fredericktown MO, 63645-1084. NPI Number Fred Wayne Gaskin MD has the Individual type.

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1063539252 NPI number is provided on an as is basis without warranty of any kind. 1063539252 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Wayne Gaskin MD are for informational purposes only.