Organization
VASCULAR SURGERY ASSOCIATES, P.C.
Active
Organization
VASCULAR SURGERY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE L. WALDSCHMDIT M.D. (PRESIDENT)
(816) 781-5006
Entity
Organization
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 112, LIBERTY, MO 64068-3388
(816) 781-5006
(816) 781-9212
Mailing address
2521 GLENN HENDREN DR, SUITE 112, LIBERTY, MO 64068-3388
(816) 781-5006
(816) 781-9212
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202238903
—
MO
05
—
208014100
—
MO
Enumeration date
02/20/2007
Last updated
06/24/2010
Update your record
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