Individual
MR. CHRISTIAN WOLLMERSHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC,LAT,BS
Contact information
Practice address
4800 MEXICO RD, 104, SAINT PETERS, MO 63376-1666
(636) 939-9540
Mailing address
1518 ENWOOD DR, SAINT PETERS, MO 63376-4664
(636) 928-9665
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006028777
MO
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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