Individual
SEBASTIAN DAVID WIESEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, MC 413, COLUMBIA, MO 65212-1000
(573) 882-6956
Mailing address
1 HOSPITAL DR # 413, COLUMBIA, MO 65212-1000
(573) 882-6956
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2018020409
MO
Other
Enumeration date
09/12/2018
Last updated
09/12/2022
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