MS. CONNIE WILDT, RD,LD

Dietitian, Registered

Active Individual
NPI: 1356583504

Practice Address

615 S. NEW BALLAS RD
St. Louis, MO 63141

Phone: (314) 251-4998

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 2001024181 (MO)

Frequently Asked Questions

NPI 1356583504 is the National Provider Identifier for MS. CONNIE WILDT, RD,LD, a Dietitian, Registered provider located in St. Louis, MO. This NPI was enumerated on April 2, 2009.
MS. CONNIE WILDT, RD,LD practices at 615 S. NEW BALLAS RD, St. Louis, MO 63141.

Quick Facts

NPI
1356583504
Type
Individual
Enumerated
Apr 2, 2009
Last Updated
Apr 2, 2009

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