Individual
DR. WASEEM ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 THE BOULEVARD SAINT LOUIS, SAINT LOUIS, MO 63117-1118
(314) 367-1181
Mailing address
1600 S BRENTWOOD BLVD STE 800, SAINT LOUIS, MO 63144-1317
(314) 367-1181
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2018012250
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
2018012250
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
09/12/2018
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