Individual
DR. SHELDON WIDLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LIGONIER STREET, SUITE 201, LATROBE, PA 15650
(704) 539-8517
(412) 241-4325
Mailing address
1100 LIGONIER STREET, SUITE 201, LATROBE, PA 15650
(704) 539-8517
(412) 241-4325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD019695E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63633
—
PA
Enumeration date
04/09/2007
Last updated
07/08/2007
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