Wyrsch, Robert Bradley

Wyrsch, Robert Bradley is an individual health care provider with primary practice located at 1229 E Seminole St , Springfield MO 65804-2227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Wyrsch, Robert Bradley can be contacted via phone (417) 820-5610.

Contact Information

Primary practice address
1229 E Seminole St Springfield MO 65804-2227
Phone: (417) 820-5610
Fax: (417) 820-5588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 111221 Missouri

Profile Details

NPI number 1851430185
LBN Legal business name Wyrsch, Robert Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Feb 5th, 2013 - about 11 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 1851430185 NPPES
Missouri Other 81635 AR BLUE SHIELD #
Missouri MEDICAID 208283903 AR BLUE SHIELD #

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