Robert C. Wanless, M.D.

Plastic Surgery Physician · Belleville, IL

Individual Active NPI

NPI number 1548258288

Practice location

4600 Memorial Dr
Suite 320
Belleville, IL 62226-5366
Phone
(618) 257-2100
Fax
(618) 257-2169

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NPI record

NPI
1548258288
Entity type
Individual (Type 1)
Enumeration date
October 6, 2005
Last updated
March 20, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X 036 - 052657 IL

About Dr. Wanless

Robert C. Wanless, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 4600 Memorial Dr, Suite 320, Belleville, IL 62226-5366. The NPI number 1548258288 was assigned on October 6, 2005 and the record was last updated on March 20, 2014.

Dr. Wanless lists a license in the registry: #036 - 052657 (IL) for Plastic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert C. Wanless, M.D.?

The NPI number is 1548258288.

What is the phone number of Dr. Wanless?

The phone number listed for the practice location is (618) 257-2100.

Where is Dr. Wanless located?

4600 Memorial Dr, Suite 320, Belleville, IL 62226-5366.

What is the taxonomy code for Dr. Wanless?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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