Individual
DR. ANDREW MICHAEL WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N NEW BALLAS RD STE 175, SAINT LOUIS, MO 63141-6884
(314) 786-2663
(314) 279-1037
Mailing address
PO BOX 843857, KANSAS CITY, MO 64184-3857
(314) 966-8887
(314) 317-1398
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
106770
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099000
EXCLUSIVE CHOICE
MO
01
—
106929
BLUE CROSS BLUE SHIELD
MO
01
—
1213279001
CIGNA
MO
01
—
2300970
UNITED HEALTH CARE
MO
01
—
334564
HEALTHLINK
MO
01
—
5919459
AETNA
MO
01
—
81445
GHP
MO
01
—
F65905
MERCY #80
MO
Enumeration date
01/11/2006
Last updated
03/28/2018
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