Individual
DR. MARTIN D JENDRISAK
Active
Individual
DR. MARTIN D JENDRISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
R2A43
MO
2086S0129X
Vascular Surgery Physician
R2A43
MO
Other
Enumeration date
07/14/2006
Last updated
01/09/2008
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