Individual
DR. CHRISTIAN JON WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
118 E JEFFERSON AVE, SUITE 200, KIRKWOOD, MO 63122-4026
(314) 821-6585
(314) 821-6594
Mailing address
118 E JEFFERSON AVE, SUITE 200, KIRKWOOD, MO 63122-4026
(314) 821-6585
(314) 821-6594
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000476
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301865002
—
MO
Enumeration date
05/30/2006
Last updated
07/13/2010
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