Individual
JOSHUA MARTIN WIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12301 WILSHIRE BLVD, 201, LOS ANGELES, CA 90025-1007
(310) 207-8900
Mailing address
12301 WILSHIRE BLVD, 201, LOS ANGELES, CA 90025-1007
(310) 207-8900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G70745
CA
Other
Enumeration date
07/10/2006
Last updated
01/19/2015
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