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Individual

DR. DANIEL MARK WIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
WALTER REED NMMC 8901 ROCKVILLE PIKE, BETHESDA, MD 20889-5000
(301) 295-7850
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-7850
(301) 295-7850

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101265238
VA
208D00000X
General Practice Physician
0101265238
VA

Other

Enumeration date
05/01/2017
Last updated
07/28/2025
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