Individual
DR. ROBERT L WIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1325 HWY 2 W, SUITE A, KALISPELL, MT 59901
(406) 752-2225
(406) 752-2332
Mailing address
1325 HWY 2 W, SUITE A, KALISPELL, MT 59901
(406) 752-2225
(406) 752-2332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
337CHI
MT
Other
Enumeration date
10/04/2006
Last updated
12/05/2007
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