Individual
DR. MARTIN L MAYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4960 CHILDRENS PL, SAINT LOUIS, MO 63110-1000
(314) 454-8917
(314) 454-5571
Mailing address
660 S EUCLID AVE, C B 8052, SAINT LOUIS, MO 63110-1010
(314) 454-8917
(314) 454-5571
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2003018930
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209185206
—
MO
Enumeration date
07/14/2006
Last updated
01/27/2009
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