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Individual
DR. EDWARD B WIEMHOLT III
Active
Individual
DR. EDWARD B WIEMHOLT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204328
VA
207R00000X
Internal Medicine Physician
2020040036
MO
208M00000X
Hospitalist Physician
Primary
05-49353
KS
208M00000X
Hospitalist Physician
2020040036
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095382
—
MO
Enumeration date
02/24/2014
Last updated
07/29/2024
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