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1255359170
KONRAD WIDMER
SAINT LOUIS, MO
NPI
1255359170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: IL 036048901)
Enumeration Date
2006-07-18
Last Update Date
2012-06-26
Business Address
Dr. KONRAD WIDMER
1 COVERLY LN
SAINT LOUIS, MO 63126-3200
Phone number: 314-933-0151
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Mailing Address
Dr. KONRAD WIDMER
1 COVERLY LN
SAINT LOUIS, MO 63126-3200
Phone number:
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