Individual
DR. JEFFREY H WIDMEYER
Active
Individual
DR. JEFFREY H WIDMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101049993
VA
208600000X
Surgery Physician
0101049993
VA
2086S0129X
Vascular Surgery Physician
010104993
VA
2086S0129X
Vascular Surgery Physician
Primary
0101049993
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176753
ANTHEM
VA
01
—
462534
SOUTHERN HEALTH
VA
01
—
7187888
AETNA
VA
01
—
P00237590
RAILROAD MEDICARE
VA
Enumeration date
08/19/2006
Last updated
03/08/2024
Update your record
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