Individual
MICHAEL L. WALDSCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 112, LIBERTY, MO 64068-3388
(816) 842-5555
(816) 842-8888
Mailing address
2750 CLAY EDWARDS DR STE 304, KANSAS CITY, MO 64116-3256
(816) 842-5555
(816) 842-8888
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
R2E49
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202238903
—
MO
Enumeration date
07/11/2005
Last updated
12/15/2016
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