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Individual
DR. MELVIN LEO WIEDMAN
Active
Individual
DR. MELVIN LEO WIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
B02406
NY
Other
Enumeration date
06/29/2006
Last updated
09/20/2026
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