Individual
MICHAEL ROGER WIEDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
731 LEIGHTON AVE, SUITE 300, ANNISTON, AL 36207-5761
(256) 236-4121
(256) 237-5254
Mailing address
PO BOX 1765, ANNISTON, AL 36202-1765
(256) 236-4121
(256) 237-5254
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.23204
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000094128
—
AL
01
—
051094128
BLUE SHIELD
AL
Enumeration date
10/18/2005
Last updated
06/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us