Individual
MICHELLE LOPEZ WIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6949 GOOD SAMARITAN DR STE 210, CINCINNATI, OH 45247-5205
(513) 931-2400
(513) 931-0132
Mailing address
6949 GOOD SAMARITAN DR STE 210, CINCINNATI, OH 45247-5205
(513) 931-2400
(513) 931-0132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.135693
OH
Other
Enumeration date
03/31/2014
Last updated
08/14/2019
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