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1548258288
ROBERT C. WANLESS
BELLEVILLE, IL
NPI
1548258288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: IL 036 - 052657)
Enumeration Date
2005-10-06
Last Update Date
2014-03-20
Business Address
-- ROBERT C. WANLESS M.D.
4600 MEMORIAL DR SUITE 320
BELLEVILLE, IL 62226-5366
Phone number: 618-257-2100
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Mailing Address
-- ROBERT C. WANLESS M.D.
4600 MEMORIAL DR SUITE 320
BELLEVILLE, IL 62226-5366
Phone number: 618-257-2100
Copy
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