Individual
DR. MICHAEL J WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 PROSPECT AVENUE, T303, KANSAS CITY, MO 64132
(816) 333-1919
(816) 361-1930
Mailing address
6420 PROSPECT AVENUE, T303, KANSAS CITY, MO 64132
(816) 333-1919
(816) 361-1930
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0417387
KS
207RP1001X
Pulmonary Disease Physician
Primary
R1E71
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206310 B
—
KS
05
—
100206310 C
—
KS
05
—
100206310A
—
KS
05
—
100206310D
—
KS
05
—
202423208
—
MO
Enumeration date
05/02/2006
Last updated
09/11/2013
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