Individual
PETER G WIENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8090
(636) 390-7385
Mailing address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8090
(636) 390-7385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R8N11
MO
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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