# PATRICK J WEDLAKE DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427301035
- **Authorized official:** DR. PATRICK JOHN WEDLAKE DO (DIRECTOR)
- **Authorized official phone:** (541) 864-0278

## Contact information

- **Practice address:** 85O SISKIYOU BLVD, STE 9, ASHLAND, OR 97520-2125
- **Practice address phone:** (541) 482-0342
- **Practice address fax:** (541) 482-6986
- **Mailing address:** 850 SISKIYOU BLVD, STE 7, ASHLAND, OR 97520-2125
- **Mailing address phone:** (541) 482-0342
- **Mailing address fax:** (541) 482-6986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | DO16364 | OR | Yes |

## Other

- **Enumeration date:** 10/19/2012
- **Last updated:** 10/19/2012