Organization
PATRICK J WEDLAKE DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOHN WEDLAKE DO (DIRECTOR)
(541) 864-0278
Entity
Organization
Contact information
Practice address
85O SISKIYOU BLVD, STE 9, ASHLAND, OR 97520-2125
(541) 482-0342
(541) 482-6986
Mailing address
850 SISKIYOU BLVD, STE 7, ASHLAND, OR 97520-2125
(541) 482-0342
(541) 482-6986
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO16364
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012828
—
OR
Enumeration date
10/19/2012
Last updated
10/19/2012
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