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Individual

DR. MATTHEW JOSEPH WIEDUWILT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-5418
(336) 713-5440
(336) 713-5445
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5440
(336) 713-5445

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A99612
CA
207RH0003X
Hematology & Oncology Physician
Primary
2022-02762
NC
207RH0003X
Hematology & Oncology Physician
38014
OK
207RH0003X
Hematology & Oncology Physician
A99612
CA

Other

Enumeration date
07/16/2007
Last updated
10/19/2022
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