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Heritage Wellness Clinic LLC

Internal Medicine in Saint Peters, MO. Organization (NPI-2).

NPI number1619483294
StatusActive
Last updated in NPPESNov 4, 2026

Details

NPI
1619483294
Entity type
Organization (NPI-2)
Legal business name
Heritage Wellness Clinic LLC
Organization subpart
No
Enumeration date
Dec 19, 2017
Certification date
Nov 4, 2026
Last updated
Nov 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

2730 S Saint Peters Pkwy
Saint Peters, MO 63303-5677

Phone 636-277-9927 · Fax 636-295-4741

Mailing address

2730 S Saint Peters Pkwy
Saint Peters, MO 63303-5630

Phone 314-960-1052 · Fax 636-685-0021

Authorized official

Malik Karim
Cred. Spec.
3149601052

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