Organization
ELDERBERRY HEALTH FOUNDATION
Active
Other names
ElderberryMD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDON WIEDENMAN (CEO)
(314) 788-4620
Entity
Organization
Contact information
Practice address
1207 DELAWARE AVE #1904, WILMINGTON, DE 19806
(314) 788-4620
Mailing address
15455 MANCHESTER RD #3313, BALLWIN, MO 63022-5049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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