| Doctor Name: | MR. EDMUND JAROM WINGERT |
| NPI Number: | 1437452596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | RN0000164694 |
| Business Practice Address: | Deparmtent Of Anesthesiology Dc005 00 3w27 One Hospital Dr. Columbia, MO - 652120001 |
| Business Phone Number: | 5738822568 |
| Business Fax Number: | 5738822226 |
| Mailing Address: | Po Box 7687, COLUMBIA |
| State: | MO |
| Postal Code: | 652057687 |
| Phone Number: | 5738822259 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2010 |
| NPI Last Update Date: | 03/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | RN0000164694 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |