Individual
STEPHEN JAY WEDDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1181 WYNDEMERE CIR, LONGMONT, CO 80501-2321
(303) 651-5111
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21875
CO
Other
Enumeration date
06/17/2006
Last updated
10/28/2013
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