Individual provider · Type 1 NPI

Konrad Widmer

General Practice Physician · St. Louis, MO

NPI number 1255359170 Active

Practice location

1 Coverly Ln
St. Louis, MO 63126-3200

Call (314) 933-0151 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X036048901 (IL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1255359170

Konrad Widmer's National Provider Identifier is 1255359170, issued on Jul 18, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 26, 2012.