Individual
MATTHEW KALE WEDEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A87925
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A87925
CA
208100000X
Physical Medicine & Rehabilitation Physician
A87925
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A87925
CA
Other
Enumeration date
05/21/2007
Last updated
04/11/2024
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