Geoffrey Paul Wiedeman in Sacramento - Specialist

Geoffrey Paul Wiedeman - NPI 1790721132

Geoffrey Paul Wiedeman is a Specialist in Sacramento, California. Geoffrey Paul Wiedeman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Geoffrey Paul Wiedeman is 1790721132. The last update date is 2010-08-09.

Geoffrey Paul Wiedeman's current location address is 1201 Alhambra Blvd, Sacramento, California. You can contact this provider via phone number 9164574263 and fax number 9167317809. The mailing address for Geoffrey Paul Wiedeman is 1201 Alhambra Blvd, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Geoffrey Paul Wiedeman
Address 1201 Alhambra Blvd, Sacramento, California
Phone Number 9164574263
Fax Number 9167317809
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1790721132
Provider Enumeration Date 2006-06-22
Last Updated Date 2010-08-09

Provider Mailing Address Detail

Address 1201 Alhambra Blvd
City Sacramento
State California (CA)
Post Code 958165243
Phone Number 9164574263
Fax Number 9167317809

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G30750
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Geoffrey Paul Wiedeman

What is the unique identification code assigned to Geoffrey Paul Wiedeman by the Centers for Medicare & Medicaid Services?

The Geoffrey Paul Wiedeman has been issued the NPI (National Provider Identifier) 1790721132. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Geoffrey Paul Wiedeman is geographically located?

The Geoffrey Paul Wiedeman is physically situated at the following location: 1201 Alhambra Blvd, Sacramento, CA, 958165243.

What is Geoffrey Paul Wiedeman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Geoffrey Paul Wiedeman's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did Geoffrey Paul Wiedeman receive its 1790721132 assignment from the Centers for Medicare & Medicaid Services?

The Geoffrey Paul Wiedeman was assigned its 1790721132 on 2006-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Geoffrey Paul Wiedeman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Geoffrey Paul Wiedeman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-09.

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