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Individual

DR. JAMES C. WIDMAIER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2130
(570) 271-6541
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD066307L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001773636
PA
Enumeration date
05/16/2006
Last updated
08/25/2020
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