Individual
DANIEL HUGH WACHSSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8007 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-5363
(314) 423-8195
(314) 423-2158
Mailing address
8007 SAINT CHARLES ROCK RD, SAINT LOUIS, MO 63114-5363
(314) 423-8195
(314) 423-2158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
106487
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203842323
—
MO
Enumeration date
07/11/2005
Last updated
11/01/2011
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