Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wildwood Internal Medicine, PC

Organization Internal Medicine Physician · NPI 1871726067

Wildwood Internal Medicine, PC is an Internal Medicine Physician in Wildwood, Missouri. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16759 Main St Ste 203
Wildwood, MO 63040
Phone: (636) 458-4800
Fax: (636) 594-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1871726067
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWildwood Internal Medicine, PC
Authorized official John Wiedner — Present · (636) 458-4800
NPI enumeratedSeptember 3, 2009
Last updated in NPPESSeptember 3, 2009
Mailing address16759 Main Street, Suite 203, Wildwood, MO 63040

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