Individual
DAVID MIEDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 WOODBRIDGE RD STE A, SOMERVILLE, TN 38068-1242
(901) 465-6353
(833) 902-3599
Mailing address
25 WOODBRIDGE RD, SOMERVILLE, TN 38068-1242
(901) 465-6353
(833) 902-3599
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
65449
TN
Other
Enumeration date
07/13/2011
Last updated
02/13/2024
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