Individual
HEIDI L WIECHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(618) 719-7230
Mailing address
2406 KELLING DR, MILLSTADT, IL 62260-3029
(618) 719-7230
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
2011041815
MO
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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