Individual
DR. JAMES ERIC WIEDEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7222
(916) 366-5475
Mailing address
419 HERON PL, DAVIS, CA 95616-7512
(530) 759-0726
(916) 366-5482
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G77763
CA
Other
Enumeration date
11/28/2005
Last updated
07/08/2007
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