Individual
DR. ZACHARY JAMES WANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV SURG VASCULAR, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 273-7373
(888) 840-6225
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 273-7373
(888) 840-6225
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2021028372
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200100277
—
MO
Enumeration date
04/25/2015
Last updated
09/30/2025
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