Individual
DR. VYACHESLAV I MAKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3801 S NATIONAL AVE STE 700, SPRINGFIELD, MO 65807-5210
(417) 885-3888
(417) 881-7216
Mailing address
1414 E PRIMROSE ST STE 100, SPRINGFIELD, MO 65804-4283
(417) 885-3888
(417) 881-7268
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0102206614
VA
207T00000X
Neurological Surgery Physician
Primary
2025021089
MO
207T00000X
Neurological Surgery Physician
UO6947
FL
363AS0400X
Surgical Physician Assistant
PA9102602
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030083
—
MO
05
—
292065400
—
FL
Enumeration date
05/11/2006
Last updated
10/23/2025
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