Individual
JOHN MORRIS BEDWINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 MEDICAL PLZ STE 100, LAKE ST LOUIS, MO 63367-1493
(636) 695-2316
(636) 639-8676
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036176269
IL
2085R0001X
Radiation Oncology Physician
Primary
R8484
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107975
BCBS
MO
05
—
201801628
—
MO
01
—
2409021
UHC
—
01
—
4119583
AETNA
—
01
—
49795
GHP
—
01
—
900001981
RR MEDICARE
—
Enumeration date
04/21/2006
Last updated
04/23/2026
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