Individual
DR. JASON N. VIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19401 HUBBARD DR, DEARBORN, MI 48126-2641
(313) 982-8261
Mailing address
10406 LASALLE BLVD, HUNTINGTON WOODS, MI 48070-1120
(248) 345-7739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101015056
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114725024
—
MI
Enumeration date
05/22/2006
Last updated
08/01/2014
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