Whalio Doctors

NPI 1942226253

Martin D Jendrisak, MD

Practitioner Transplant Surgery Physician Saint Louis, MO

Practice location

Address
4921 Parkview Pl Suite 8c, Saint Louis, MO 63110-1032
Phone
(314) 362-2840
Fax
(314) 361-4197
Mailing address
7425 Forsyth C B 8221, Saint Louis, MO 63105-2161

Registered specialties (2)

Transplant Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204F00000X Licence R2A43 (MO)
Vascular Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence R2A43 (MO)

Registry record

NPI
1942226253
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jul 2006
Record last updated
9 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.