Wildwood Internal Medicine, Pc

LBN: Wildwood Internal Medicine, Pc
Wildwood Internal Medicine, Pc is an health care organization with primary practice located at 16759 Main Street Suite 203, Wildwood MO 63040. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Wildwood Internal Medicine, Pc can be contacted via phone (636) 458-4800, or through Wiedner, John via phone (636) 458-4800.

Contact Information

Primary practice address
16759 Main Street Suite 203 Wildwood MO 63040
Phone: (636) 458-4800
Fax: (636) 594-7500
Website:
Map and Directions
Authorized official contact:
Name: Wiedner, John Doctor of Medicine (MD)
Phone: (636) 458-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1871726067
LBN Legal business name Wildwood Internal Medicine, Pc
DBA Doing business as
Authorized official Wiedner, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 3rd, 2009
Last updated Sep 3rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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