Individual
CHARLES KONTOR WIREDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-6245
Mailing address
1600 EAST BROADWAY, BOX 50, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-6245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009014119
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2009014119
MO
208M00000X
Hospitalist Physician
Primary
2009014119
MO
Other
Enumeration date
07/27/2007
Last updated
09/09/2024
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