Individual
MARY THERESE SORENSEN WIEDERHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 ASKIN ST, MAUMEE, OH 43537-3603
(419) 704-0383
Mailing address
805 ASKIN ST, MAUMEE, OH 43537-3603
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN.CNP.0042672
OH
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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