Organization
DONN J. WIEDERSHINE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONN JAY WIEDERSHINE M.D. (MEDICAL DIRECTOR)
(845) 679-2709
Entity
Organization
Contact information
Practice address
62 RICKS ROAD, WOODSTOCK, NY 12498
(848) 208-1312
(845) 679-2409
Mailing address
62 RICKS ROAD, WOODSTOCK, NY 12498
(848) 208-1312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166433-1
NY
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
07/06/2009
Last updated
12/07/2022
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