Individual
BARRY JOSEPH WAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
113092
MO
208M00000X
Hospitalist Physician
113092
MO
Other
Enumeration date
04/13/2006
Last updated
04/18/2023
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