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Individual

DR. JOHN GRANT WIDEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1948 AL HIGHWAY 157, CULLMAN, AL 35058-0642
(256) 735-5277
(256) 203-8626
Mailing address
PO BOX 2895, CULLMAN, AL 35056-2895
(256) 735-5044
(256) 801-7626

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22380
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117937
AL
05
118948
AL
Enumeration date
08/21/2006
Last updated
02/11/2026
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