Individual
DR. FRED WAYNE GASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 GARRETT ST, FREDERICKTOWN, MO 63645-1084
(573) 334-1100
(573) 651-4345
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34748
MO
Other
Enumeration date
03/23/2007
Last updated
12/27/2011
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