Provider Demographics
NPI:1134562937
Name:WEHRMANN, MELISSA ANN (MD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:WEHRMANN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1465 S GRAND BLVD RM 2717
Mailing Address - Street 2:SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1003
Mailing Address - Country:US
Mailing Address - Phone:314-577-5600
Mailing Address - Fax:314-577-5616
Practice Address - Street 1:1465 S GRAND BLVD RM 2717
Practice Address - Street 2:SSM CARDINAL GLENNON CHILDREN'S MEDICAL CENTER
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1003
Practice Address - Country:US
Practice Address - Phone:314-577-5600
Practice Address - Fax:314-577-5616
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2017-04-11
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Provider Licenses
StateLicense IDTaxonomies
CODR.00583402080P0202X
MO2016011494208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology