MEDICARE: DR. LUKE WESSLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MMD.90094LL	SC

General Provider Information

NPI Number	:	1841974177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE WESSLER MD

Provider Business Mailing Address
First Line	:	1 CHILDRENS PL MSC 8116-0043-08
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110
Country	:	US
Telephone Number	:	314-454-4826
Fax Number	:	314-454-4633

Provider Business Practice Location Address
First Line	:	169 ASHLEY AVE RM 202
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-1164
Country	:	US
Telephone Number	:	843-792-1414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	02/02/2026

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