Individual
GREGORY KWASNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-4010
(314) 977-3495
Mailing address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-4010
(314) 977-3495
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2012003459
MO
Other
Enumeration date
09/20/2007
Last updated
11/05/2020
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