Individual
AMANDA WIEDEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3500 DODGE ST, DUBUQUE, IA 52003-5261
(563) 557-0304
Mailing address
2817 LANCELOT LN NW, CEDAR RAPIDS, IA 52405-2057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23607
IA
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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