Healthcare Provider Details

I. General information

NPI: 1093714370
Provider Name (Legal Business Name): WARD W OHLHAUSEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2529 GLENN HENDREN DR SUITE 200
LIBERTY MO
64068-9625
US

IV. Provider business mailing address

611 WESTWOODS DR
LIBERTY MO
64068-1183
US

V. Phone/Fax

Practice location:
  • Phone: 816-781-7820
  • Fax: 816-781-2371
Mailing address:
  • Phone: 816-781-7820
  • Fax: 816-781-2371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number108689
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: