Individual
DR. ROBERT P. WANKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35113
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178712
HEALTHLINK
MO
01
—
12562
BCBS
MO
05
—
200090900
—
MO
01
—
5539
GHP
MO
01
—
826183199
MEDICARE RAILROAD
MO
01
—
CP9089
RAILROAD GROUP
MO
Enumeration date
12/13/2005
Last updated
08/07/2008
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