Individual
DR. A ROGER WIEDERHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4024 MANSION CT NW, WASHINGTON, DC 20007-2149
(202) 333-3918
Mailing address
4024 MANSION CT NW, WASHINGTON, DC 20007-2149
(202) 333-3918
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
VA0101021325
VA
Other
Enumeration date
03/27/2013
Last updated
03/07/2023
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