Individual
DR. TIMOTHY ARTHUR WINGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7800 NATURAL BRIDGE RD, 1 UNIVERSITY BLVD, SAINT LOUIS, MO 63121-4617
(314) 516-5131
(314) 516-5507
Mailing address
ONE UNIVERSITY HALL, 115 MARILLAC HALL, ST LOUIS, MO 63121
(314) 516-5131
(314) 516-5507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02647
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760592166
—
MO
Enumeration date
08/30/2006
Last updated
01/19/2012
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