Individual
JOHN DIRK WASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 SAINT MICHAELS DR, SUITE 110, SANTA FE, NM 87505-7670
(505) 954-8720
Mailing address
455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
(505) 820-5227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2006-0010
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10024478
LOVELACE
NM
01
—
202005441
PRESBYTERIAN HEALTH PLAN
—
01
—
2607463
UHC
—
05
—
80509568
—
NM
01
—
NM009X29
BCBS NM
NM
01
—
QMYPR0070898
MOLINA HEALTHCARE
—
Enumeration date
03/09/2006
Last updated
12/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us