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Individual

MARK WAYNE DRYMALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3211 S PROVIDENCE RD, BUILDING C, COLUMBIA, MO 65203-3644
(573) 884-7100
(573) 884-7706
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2012015962
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720180953
ARAZ/AMERICA'S PPO
05
1720180953
IA
01
2300567
MEDICA
SD
01
254135
MIDLANDS CHOICE
SD
01
370624200
DEPT OF LABOR
SD
05
457412000
MN
05
46022474373
NE
01
4992940
BLUE CROSS
SD
01
557891052232
PREFERRED ONE
SD
01
57105K012
WPS TRICARE
SD
05
6000984
SD
01
6I567DR
BLUE CROSS
MN
01
7070
DAKOTACARE
SD
01
92411422907
PRIMEWEST
MN
01
HP83524
HEALTHPARTNERS
SD
Enumeration date
09/01/2006
Last updated
09/14/2022
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