Individual
DR. DANIEL RICHARD MROSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
904 WOLLARD BLVD, RICHMOND, MO 64085-2229
(660) 259-4383
Mailing address
PO BOX 932079, KANSAS CITY, MO 64193-0001
(816) 470-5432
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R4D09
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201903622
—
MO
Enumeration date
03/08/2006
Last updated
01/15/2009
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