Individual
DR. WENNERS BALLARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST, SAINT LOUIS, MO 63110-1003
(314) 362-1700
(314) 362-9878
Mailing address
660 S EUCLID AVE, CB 8058, SAINT LOUIS, MO 63110-1010
(314) 362-1700
(314) 362-9878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101278261
VA
208M00000X
Hospitalist Physician
Primary
2017041360
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058157
—
MO
Enumeration date
06/19/2015
Last updated
01/05/2024
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