VLADISLAV AFANASEVICH

SAINT LOUIS, MO
NPI1902193246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MO  2011019832)
Enumeration Date2011-07-07
Last Update Date2021-12-17
Business Address
-- VLADISLAV AFANASEVICH M.D.
1438 S GRAND BLVD
SAINT LOUIS, MO 63104-1027
Phone number: 314-977-4850
Mailing Address
-- VLADISLAV AFANASEVICH M.D.
1438 S GRAND BLVD
SAINT LOUIS, MO 63104-1027
Phone number: 314-977-4850