Individual
DR. LARS WIDDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2624 EDITH AVE, REDDING, CA 96001-3043
(530) 806-1190
(530) 229-7946
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C171096
CA
Other
Enumeration date
01/30/2007
Last updated
06/17/2021
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