Individual
HOWARD WEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-7222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R3G98
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R3G98
MEDICAL LICENSE
MO
Enumeration date
03/06/2007
Last updated
02/28/2008
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