Search › Missouri › 207RG0100X
Wissam Kiwan, M.D
NPI 1790164226 · on the registry since 2015
Practice
- Address
- 1008 S Spring Ave Fl 2
Saint Louis, MO 63110 - Phone
- (313) 858-4090
- Organisation at this address
- Imagine Academy Of Esm
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 53
Additional practice sites
- 900 N Washington St, Du Quoin, IL
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207RG0100X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri