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Individual

DEBORAH WENKERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3660 VISTA AVE, ST. LOUIS, MO 63110
(314) 977-6195
(314) 977-8818
Mailing address
3691 RUTGER ST., PROVIDER ENROLLMENT, ST. LOUIS, MO 63110
(314) 977-6828
(314) 977-6777

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
108299
MO

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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