Individual
ANDREW G RESNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8006
(573) 884-5396
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
118498
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204730311
—
MO
01
—
260052102
RR MEDICARE
MO
Enumeration date
05/05/2006
Last updated
09/12/2022
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