Individual
LAURA JEAN WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(636) 290-3731
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(636) 290-3731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014019466
MO
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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