Individual
DRIGAN D WIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
(303) 449-2730
(303) 449-5821
Mailing address
PO BOX 7208, LOVELAND, CO 80537-0208
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28474
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01284744
—
CO
Enumeration date
06/13/2006
Last updated
06/28/2017
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