Individual provider · Type 1 NPI

Martin D. Jendrisak, MD

Transplant Surgery Physician · St. Louis, MO

NPI number 1942226253 Active

Practice location

4921 Parkview Pl, Suite 8C
St. Louis, MO 63110-1032

Call (314) 362-2840 Map

Fax (314) 361-4197

Mailing address

7425 Forsyth, C B 8221
St. Louis, MO 63105-2161

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician Primary 204F00000XR2A43 (MO)
Vascular Surgery Physician 2086S0129XR2A43 (MO)

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

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About NPI 1942226253

Martin D. Jendrisak, MD's National Provider Identifier is 1942226253, issued on Jul 14, 2006. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 9, 2008.