Individual
CYNTHIA WICHELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 S EUCLID AVE, C. BOX 8073, WUSM, SAINT LOUIS, MO 63110-1010
(314) 362-4374
Mailing address
9830 WARINGTON SQ, SAINT LOUIS, MO 63141-7909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
107575
MO
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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