Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. TRYSTAN RICHARD WIEDOW
Active
Individual
DR. TRYSTAN RICHARD WIEDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1002773-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
1002773
WI
390200000X
Student in an Organized Health Care Education/Training Program
RES-30614
IA
Other
Enumeration date
04/15/2021
Last updated
06/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers