Individual
DR. TERREL WIEDENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2460
Mailing address
801 5TH ST, SIOUX CITY, IA 51101-1326
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20763
IA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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