Individual
MR. JONATHAN RICHARD WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
4921 PARKVIEW PL, DIV NEUROLOGY STROKE, STE 6C, SAINT LOUIS, MO 63110-1032
(314) 362-7382
(314) 747-3342
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7382
(314) 747-3342
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2024008621
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420141831
—
MO
Enumeration date
07/19/2018
Last updated
04/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us