Gandlmayr, Jack M

Gandlmayr, Jack M is an individual health care provider with primary practice located at 12255 De Paul Dr Suite 445, Bridgeton MO 63044-2510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gandlmayr, Jack M can be contacted via phone (314) 344-6817.

Contact Information

Primary practice address
12255 De Paul Dr Suite 445 Bridgeton MO 63044-2510
Phone: (314) 344-6817
Fax: (314) 344-7979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26824 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 26824 Missouri

Profile Details

NPI number 1720053168
LBN Legal business name Gandlmayr, Jack M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 2007 - about 17 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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