Individual
DR. EDWARD B WIEMHOLT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4000 CAMBRIDGE ST # MS 1020, KANSAS CITY, KS 66160-8501
(913) 588-6005
Mailing address
4000 CAMBRIDGE ST # MS 1020, KANSAS CITY, KS 66160-8501
(913) 588-6005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204328
VA
207R00000X
Internal Medicine Physician
2020040036
MO
208M00000X
Hospitalist Physician
Primary
05-49353
KS
208M00000X
Hospitalist Physician
2020040036
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095382
—
MO
Enumeration date
02/24/2014
Last updated
07/29/2024
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