Individual
MARY S WIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AHCNS
Contact information
Practice address
ONE HOSPITAL DRIVE, COLUMBIA, MO 65212-0001
(573) 884-1615
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
091400
MO
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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