Individual
DR. JUSTIN WEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
144 PLUM TREE DR, SAINT PETERS, MO 63376-2703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018003474
MO
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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