Individual
JASON WIEDERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E 1ST ST, DULUTH, MN 55805-1901
(182) 786-6454
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69087
MN
208M00000X
Hospitalist Physician
Primary
69087
MN
Other
Enumeration date
04/08/2018
Last updated
05/08/2025
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