Individual
SHANNON MCVEY WIEDERSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
252 W SWAMP RD STE 48, DOYLESTOWN, PA 18901-2408
(215) 230-9988
(215) 230-9989
Mailing address
252 W SWAMP RD STE 48, DOYLESTOWN, PA 18901-2408
(215) 230-9988
(215) 230-9989
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS019788
PA
Other
Enumeration date
05/26/2015
Last updated
11/05/2020
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