Individual
DR. BERNHARD LOUIS WIEDERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 884-5694
(202) 884-4741
Mailing address
PO BOX 37215, BALTIMORE, MD 21297-3215
(202) 476-6151
(202) 476-3850
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD14592
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449210
—
DC
Enumeration date
05/20/2006
Last updated
10/24/2012
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