Individual
CATHERINE L WEIDEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1351 W CENTRAL PARK AVE, STE 350, DAVENPORT, IA 52804-1889
(563) 421-4620
(563) 421-4625
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20640
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041678
HEALTH ALLIANCE
—
05
—
1201376
—
IA
01
—
19921
IOWA HEALTH SOLUTIONS
—
01
—
31101
WELLMARK BC/BS
—
01
—
IL01D6
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/24/2005
Last updated
07/09/2007
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