Individual
MR. CRISTIAN J WEDEKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(650) 322-4222
(650) 322-4222
Mailing address
PO BOX 1374, MENLO PARK, CA 94026-1374
(650) 322-4222
(650) 322-4222
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
810111-1120
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810111-1120
AMER BOARD CV PERFUSION
—
Enumeration date
05/03/2007
Last updated
07/08/2007
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