John Wiedner, M.D.

Internal Medicine Physician · Wildwood, MO

Individual Active NPI

NPI number 1639151244

Practice location

16759 Main St
Ste 203
Wildwood, MO 63040-1232
Phone
(636) 458-4800
Fax
(636) 594-7500

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NPI record

NPI
1639151244
Entity type
Individual (Type 1)
Enumeration date
November 18, 2005
Last updated
May 2, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X R6G00 MO

Mailing address

16759 Main St
Suite 203
Wildwood, MO 63040-1232
Phone
(636) 458-4800
Fax
(636) 594-7500

About Dr. Wiedner

John Wiedner, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 16759 Main St, Ste 203, Wildwood, MO 63040-1232. The NPI number 1639151244 was assigned on November 18, 2005 and the record was last updated on May 2, 2016.

Dr. Wiedner lists a license in the registry: #R6G00 (MO) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Wiedner, M.D.?

The NPI number is 1639151244.

What is the phone number of Dr. Wiedner?

The phone number listed for the practice location is (636) 458-4800.

Where is Dr. Wiedner located?

16759 Main St, Ste 203, Wildwood, MO 63040-1232.

What is the taxonomy code for Dr. Wiedner?

The primary taxonomy code is 207R00000X – Internal Medicine 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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