Mark S Wald M.D.

NPI 1194716688 - Internal Medicine - 207RP1001X

NPI Details
NPI 1194716688
Gender Male
Enumeration Date 11/02/2005
Last Updated 07/31/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
6 JUNGERMANN CIR
SUITE 210
SAINT PETERS MO, 63376-1621, US
Phone (636) 441-6056
Fax
Business Location
11133 DUNN RD
SUITE 2335
SAINT LOUIS MO, 63136-6119, US
Phone (314) 653-5007
Fax
Toxanomy
Taxonomy Code 207RP1001X
License State Illinois
License Number 036081636
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According to our database, Dr. Mark S Wald M.D. NPI is 1194716688, taxonomy code is 207RP1001X and license number is 036081636, license state is located at Illinois. Mark S Wald M.D. physically located at 6 Jungermann Cir, Saint Peters MO, 63376-1621. NPI Number Mark S Wald M.D. has the Individual type.

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1194716688 NPI number is provided on an as is basis without warranty of any kind. 1194716688 is maintained by the National Plan & Provider Enumeration System. The contents of Mark S Wald M.D. are for informational purposes only.