Individual
JANUSZ WOLANIUK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8202
(314) 768-7145
Mailing address
PO BOX 795083, SAINT LOUIS, MO 63179-0795
(800) 899-5757
(314) 821-1833
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
107057
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042938
HEALTH ALLIANCE
MO
01
—
1101500
UNITED HEALTH CARE
MO
01
—
118773
BLUE CROSS BLUE SHIELD
MO
01
—
29381
GROUP HEALTH PLAN
MO
01
—
388977
HEALTHLINK
MO
01
—
F43482
MERCY
MO
Enumeration date
11/22/2005
Last updated
07/08/2007
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