Individual
MR. CHRISTOPHER JOHN WIEDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6001 WESTOWN PKWY, SUITE 205, WEST DES MOINES, IA 50266-7702
(515) 224-5225
Mailing address
719 26TH ST, DES MOINES, IA 50312-5117
(515) 205-3035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00173
IA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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