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DR. KONRAD WIDMER
NPI 1255359170
General Practice in Saint Louis, MO

Active since July 18, 2006
1 COVERLY LN, SAINT LOUIS, MO 63126(314) 933-0151 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Konrad Widmer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KONRAD WIDMER (NPI 1255359170) is an individual general practice provider in Saint Louis, Missouri, licensed in Illinois (036048901) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1255359170
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KONRAD WIDMER
Location Address1 COVERLY LNSaint Louis, MO 63126-3200
Mailing Address1 Coverly LnSaint Louis, MO 63126-3200
Phone(314) 933-0151
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 26, 2012
✔ NPI 1255359170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036048901
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1 COVERLY LN, Saint Louis, MO 63126
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Other Identifiers 1

Medicare UPINA13294IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Konrad Widmer's NPI number?

The NPI number for Konrad Widmer is 1255359170. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Konrad Widmer located?

Konrad Widmer practices at 1 Coverly Ln, Saint Louis, MO 63126. The listed phone number is (314) 933-0151.

What is Konrad Widmer's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Konrad Widmer was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.