Individual
GARY MAASSEN
Active
Individual
GARY MAASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7H60
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010024
ESSENCE
MO
01
—
0400519
UHC
MO
01
—
127466
GHP
MO
01
—
127490
GHP
MO
01
—
25688
BCBS
MO
01
—
260293
HEALTHLINK
MO
01
—
26093
BCBS
MO
01
—
4540903
AETNA
MO
01
—
F92833
MERCY
MO
Enumeration date
11/07/2005
Last updated
09/24/2012
Update your record
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