Individual
SAMANTHA WIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9405 N OAK TRFY, KANSAS CITY, MO 64155-2233
(816) 412-2900
Mailing address
9405 N OAK TRFY, KANSAS CITY, MO 64155-2233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2018032450
MO
Other
Enumeration date
04/06/2015
Last updated
12/05/2018
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