John Grant Wideman in Cullman - Obstetrics & Gynecology
John Grant Wideman - NPI 1336255728
John Grant Wideman is a Obstetrics & Gynecology in Cullman, Alabama. John Grant Wideman practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for John Grant Wideman is 1336255728. The last update date is 2018-10-30.
John Grant Wideman's current location address is 503 Clark St Ne, Cullman, Alabama. You can contact this provider via phone number 2567390801 and fax number 2567390027. The mailing address for John Grant Wideman is 503 Clark St Ne, Cullman, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Grant Wideman |
|---|---|
| Address | 503 Clark St Ne, Cullman, Alabama |
| Phone Number | 2567390801 |
| Fax Number | 2567390027 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336255728 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2018-10-30 |
Provider Mailing Address Detail
| Address | 503 Clark St Ne |
|---|---|
| City | Cullman |
| State | Alabama (AL) |
| Post Code | 350551921 |
| Phone Number | 2567390801 |
| Fax Number | 2567390027 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 22380 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117937 | AL | -- | |
| 118948 | AL | -- |
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What is the John Grant Wideman's unique identification number?
The John Grant Wideman has been assigned the NPI (National Provider Identifier) Number 1336255728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John Grant Wideman?
The John Grant Wideman is physically situated at 503 Clark St Ne, in the city of Cullman, state of AL, with the postal code 350551921.
What is John Grant Wideman's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Grant Wideman's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336255728 to John Grant Wideman?
The John Grant Wideman received its 1336255728 assignment from the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the John Grant Wideman's details last updated?
The information pertaining to the John Grant Wideman, including its address, specialty, and other details, was most recently updated on 2018-10-30.
NPI Number: 1982607784
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