Individual
DR. FRANCIS WIEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 I-30 BOX, MESQUITE, TX 75185-1672
(972) 698-3300
Mailing address
9071 E MISSISSIPPI AVE, SUITE 26G, DENVER, CO 80247-2004
(469) 767-7044
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J5947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J5947
ALLOPATHIC PHYSICIAN LIC
TX
Enumeration date
07/25/2006
Last updated
09/25/2013
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