Individual
JOHN N WEIDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 PARKLAWN DR, MIDWEST CITY, OK 73110
(405) 202-6710
Mailing address
700 S AIR DEPOT, SUITE D PMB 306, MIDWEST CITY, OK 73110
(405) 202-6710
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
28506
OK
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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