Konrad Widmer

General Practice Physician · Saint Louis, MO

Individual Active NPI

NPI number 1255359170

Practice location

1 Coverly Ln
Saint Louis, MO 63126-3200
Phone
(314) 933-0151

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NPI record

NPI
1255359170
Entity type
Individual (Type 1)
Enumeration date
July 18, 2006
Last updated
June 26, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 036048901 IL

About Konrad Widmer

Konrad Widmer is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1 Coverly Ln, Saint Louis, MO 63126-3200. The NPI number 1255359170 was assigned on July 18, 2006 and the record was last updated on June 26, 2012.

Konrad Widmer lists a license in the registry: #036048901 (IL) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Konrad Widmer?

The NPI number is 1255359170.

What is the phone number of Konrad Widmer?

The phone number listed for the practice location is (314) 933-0151.

Where is Konrad Widmer located?

1 Coverly Ln, Saint Louis, MO 63126-3200.

What is the taxonomy code for Konrad Widmer?

The primary taxonomy code is 208D00000X – General Practice 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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