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NPI Code Detail

MEDICARE: DR. DANIEL RICHARD MROSAK MD

MEDICARE:  DR. DANIEL RICHARD MROSAK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianR4D09MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427026475
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL RICHARD MROSAK MD
Provider Business Mailing Address
First Line : PO BOX 932079
Second Line :
City : KANSAS CITY
State : MO
Zip : 64193-0001
Country : US
Telephone Number : 816-470-5432
Fax Number :
Provider Business Practice Location Address
First Line : 904 WOLLARD BLVD
Second Line :
City : RICHMOND
State : MO
Zip : 64085-2229
Country : US
Telephone Number : 660-259-4383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 01/15/2009

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Directions to “ DR. DANIEL RICHARD MROSAK MD” Practice Location

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