Jennifer Anne Wambach MD

NPI 1649445008 - Pediatrics - 2080N0001X

NPI Details
NPI 1649445008
Gender Female
Enumeration Date 04/28/2008
Last Updated 10/22/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1 CHILDRENS PL
STE C
SAINT LOUIS MO, 63110-1002, US
Phone (314) 454-6148
Fax (314) 454-4633
Business Location
1 CHILDRENS PL
C B 8116
SAINT LOUIS MO, 63110-1002, US
Phone (314) 454-6148
Fax (314) 454-4633
Toxanomy
Taxonomy Code 2080N0001X
License State Missouri
License Number 2008009091
Remove 1649445008 NPI Number
 

According to our database, Dr. Jennifer Anne Wambach MD NPI is 1649445008, taxonomy code is 2080N0001X and license number is 2008009091, license state is located at Missouri. Jennifer Anne Wambach MD physically located at 1 Childrens Pl, Saint Louis MO, 63110-1002. NPI Number Jennifer Anne Wambach MD has the Individual type.

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1649445008 NPI number is provided on an as is basis without warranty of any kind. 1649445008 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Anne Wambach MD are for informational purposes only.