Individual
ROBERT D WIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PROGRESS POINT CT, PROGRESS WEST HEALTH CENTER, O FALLON, MO 63368-2208
(314) 740-6471
Mailing address
5 GARDEN LN, KIRKWOOD, MO 63122-2636
(314) 821-6471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R9840
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201593613
—
MO
Enumeration date
09/20/2006
Last updated
04/22/2008
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