Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK STANLEY WASSERMAN, MD
ActiveDR. MARK STANLEY WASSERMAN, MD is a Obstetrics & Gynecology healthcare provider located in SULLIVAN, Missouri. NPI 1225130933 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · SULLIVAN, MO
Registration Details
- NPI Number
- 1225130933
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2006 (19.802420291749 yrs)
- Last Updated
- Sep 17, 2025
- Licenses
-
R2F91 (MO)036104995 (IL)
Practice Information
- Address
-
965 MATTOX DRSULLIVAN, MO, 630802365Browse MO providers · Browse ZIP 63080
- Phone
- 5738606000
- Fax
- 5738606016
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in SULLIVAN, MO
| Name | Credential | NPI |
|---|---|---|
| YASUO ISHIDA | M.D. | 1811973944 |
| DR. JOSEPH B SHUMWAY | MD | 1932125242 |
| DR. ROGER J. REMBECKI | MD | 1396816880 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.