Robert C. Wanless, M.D.

NPI #1548258288 in Belleville, Illinois

Provider Information

NPI Number: 1548258288
Entity Type: Individual
Name: Robert C. Wanless, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Plastic Surgery
Credential: M.D.
Enumeration Date: Oct 6, 2005
Last Updated: Mar 20, 2014

Practice Location

Address: 4600 MEMORIAL DR
Address 2: SUITE 320
City: Belleville
State: Illinois
ZIP Code: 62226-5366
Phone: (618) 257-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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