Individual
DR. SHERWYN JORDAN WAYNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S KIRKWOOD RD, SUITE 120, SAINT LOUIS, MO 63122-7254
(314) 966-8887
(314) 966-3869
Mailing address
800 S HANLEY RD, #7D, SAINT LOUIS, MO 63105-2687
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R2534
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009032
EXCLUSIVE CHOICE
MO
01
—
0900078
UNITED HEALTH CARE
MO
01
—
101316
HEALTHLINK
MO
01
—
1495881002
CIGNA
MO
01
—
17900
BLUE CROSS BLUE SHIELD
MO
01
—
4486219
AETNA
MO
01
—
49824
GHP
MO
01
—
A12955
MERCY #80
MO
Enumeration date
01/11/2006
Last updated
07/09/2007
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