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
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2021032811
MO
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
01/15/2025
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