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1720086150
DANIEL HUGH WACHSSTOCK
SAINT LOUIS, MO
NPI
1720086150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 106487)
Enumeration Date
2005-07-11
Last Update Date
2011-11-01
Business Address
-- DANIEL HUGH WACHSSTOCK
8007 SAINT CHARLES ROCK RD
SAINT LOUIS, MO 63114-5363
Phone number: 314-423-8195
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Mailing Address
-- DANIEL HUGH WACHSSTOCK
8007 SAINT CHARLES ROCK RD
SAINT LOUIS, MO 63114-5363
Phone number: 314-423-8195
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