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NPI Code Detail

MEDICARE: DR. WAYNE WALTER MEYER MD

MEDICARE:  DR. WAYNE WALTER MEYER  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
1305R00000XPreferred Provider OrganizationR5391MO

General Provider Information

NPI Number : 1669550075
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAYNE WALTER MEYER MD
Provider Business Mailing Address
First Line : 1851 CHESTNUT
Second Line :
City : ST. LOUIS
State : MO
Zip : 63103-2275
Country : US
Telephone Number : 314-923-8532
Fax Number : 314-923-8542
Provider Business Practice Location Address
First Line : 1831 CHESTNUT ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-2225
Country : US
Telephone Number : 314-923-8532
Fax Number : 314-923-8542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WAYNE WALTER MEYER MD” Practice Location

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