Blucher, Mark L

Blucher, Mark L is an individual health care provider with primary practice located at 625 S New Ballas Rd Suite R-7040, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Blucher, Mark L can be contacted via phone (314) 251-6970.

Contact Information

Primary practice address
625 S New Ballas Rd Suite R-7040 Saint Louis MO 63141-8232
Phone: (314) 251-6970
Fax: (314) 251-5756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 2003024387 Missouri

Profile Details

NPI number 1568433951
LBN Legal business name Blucher, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated May 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568433951 NPPES
Missouri MEDICAID 209253400

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