Individual
DR. ERIC WALTER WIDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 CLEMENT ST # 181NH, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
90 PARKER AVE APT 205, SAN FRANCISCO, CA 94118-2657
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A 92319
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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