Individual
SOPHIA CENAC WEINMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
660 S EUCLID AVE, CAMPUS BOX 8045, SAINT LOUIS, MO 63110-1010
(314) 454-7376
Mailing address
501 CLARA AVE APT 704, SAINT LOUIS, MO 63112-1923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015014479
MO
207R00000X
Internal Medicine Physician
MD.207416
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
07/04/2015
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