Individual
PATRICK J. WEDLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
850 SISKIYOU BLVD, SUITE 7, ASHLAND, OR 97520-2237
(541) 482-0342
(541) 482-6986
Mailing address
850 SISKIYOU BLVD, SUITE 7, ASHLAND, OR 97520-2237
(541) 482-0342
(541) 482-6986
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
28988
CO
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO16364
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012828
—
OR
Enumeration date
07/04/2006
Last updated
10/27/2009
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