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NPI Code Detail

MEDICARE: MELISSA ANN WEHRMANN M.D.

MEDICARE: MELISSA ANN WEHRMANN M.D.
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
12080P0202XPediatric Cardiology PhysicianDR.0058340CO
2208000000XPediatrics Physician2016011494MO

General Provider Information

NPI Number : 1134562937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN WEHRMANN M.D.
Provider Business Mailing Address
First Line : 1465 S GRAND BLVD RM 2717
Second Line : SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
City : SAINT LOUIS
State : MO
Zip : 63104-1003
Country : US
Telephone Number : 314-577-5600
Fax Number : 314-577-5616
Provider Business Practice Location Address
First Line : 1465 S GRAND BLVD RM 2717
Second Line : SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
City : SAINT LOUIS
State : MO
Zip : 63104-1003
Country : US
Telephone Number : 314-577-5600
Fax Number : 314-577-5616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 04/11/2017

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