Individual
ALAN P WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4330 WORNALL RD, SUITE 2000, KANSAS CITY, MO 64111-5939
(816) 931-1883
(816) 756-3645
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2007008383
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428560A KANSAS
—
KS
05
—
200428560B OVRLND PK
—
KS
05
—
200428560D LEAVENWOR
—
KS
05
—
200428560F
—
KS
05
—
200428560G
—
KS
05
—
207282708
—
MO
01
—
KA1021025
MEDICARE - CUSHING
KS
01
—
P00836122
RAILROAD MEDICARE
MO
01
—
P00842696
RAILROAD MEDICARE
KS
Enumeration date
11/10/2006
Last updated
11/16/2017
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