Individual
DEREK WIEDMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
548-17
WI
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
01/10/2024
Last updated
03/06/2024
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