Provider Demographics
NPI:1912433194
Name:WEY, HANNAH ELISE (MD)
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:ELISE
Last Name:WEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63144-2013
Mailing Address - Country:US
Mailing Address - Phone:732-589-2077
Mailing Address - Fax:
Practice Address - Street 1:660 S EUCLID AVE # 8056
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1010
Practice Address - Country:US
Practice Address - Phone:314-362-1291
Practice Address - Fax:314-362-4619
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.069875207R00000X
MO2022008975207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine