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Individual

DR. LUKAS DELBERT WARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL, DIV IM MEDICAL ONCOLOGY, STE 7A, 7B, 7C, SAINT LOUIS, MO 63110-1032
(800) 647-2098
(314) 362-3192
Mailing address
660 S EUCLID AVE, CB 8056, SAINT LOUIS, MO 63110-1010
(800) 647-2098
(314) 362-3192

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
2007028777
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205649809
MO
Enumeration date
04/02/2007
Last updated
11/15/2021
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