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Individual

FURQAN WASEEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 325-6200
Mailing address
603 SHORE CLUB DR, SAINT CLAIR SHORES, MI 48080-1559
(314) 252-8006

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01093082A
IN
2084N0400X
Neurology Physician
Primary
2021032811
MO
2084N0400X
Neurology Physician
225516
AK
2084N0400X
Neurology Physician
25IA12987700
NJ
2084N0400X
Neurology Physician
36594
WV
2084N0400X
Neurology Physician
73143
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1748557
AK
05
200110393
MO
05
204903
AZ
05
300089993
IN
Enumeration date
05/20/2015
Last updated
06/25/2026
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