SearchMissouri208000000X

Daniel Wachsstock

NPI 1720086150 · on the registry since 2005

Practice

Address
8007 Saint Charles Rock Rd
Saint Louis, MO 63114
Phone
(314) 423-8195
Fax
(314) 423-2158
Organisation at this address
St. Lukes Pediatric Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri