Individual
DR. DAVID GLENN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
569 MID RIVERS MALL DR, SAINT PETERS, MO 63376-2152
(636) 970-2020
(636) 397-0833
Mailing address
569 MID RIVERS MALL DR, SAINT PETERS, MO 63376-2152
(636) 970-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2015042988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720207178
—
MO
01
—
172200015
MEDICARE
MO
Enumeration date
04/24/2007
Last updated
02/19/2018
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