Individual
MRS. HOLLY J WIESEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1020 N MASON RD, DIV IM CARDIOLOGY, STE 100, SAINT LOUIS, MO 63141-6666
(314) 362-1291
(314) 996-3268
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1291
(314) 996-3268
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2015006317
MO
Other
Enumeration date
03/23/2015
Last updated
09/02/2025
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