Gregory L Wiedel M.D.

NPI 1033114871 - Internal Medicine - 207R00000X

NPI Details
NPI 1033114871
Gender Male
Enumeration Date 06/17/2005
Last Updated 11/03/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
455 KANSAS AVE SE
HURON SD, 57350-2522, US
Phone (605) 352-8767
Fax (605) 352-8784
Business Location
PO BOX 1411
HURON SD, 57350-1411, US
Phone (605) 352-8767
Fax (605) 352-8784
Toxanomy
Taxonomy Code 207R00000X
License State South Dakota
License Number 3959
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According to our database, Dr. Gregory L Wiedel M.D. NPI is 1033114871, taxonomy code is 207R00000X and license number is 3959, license state is located at South Dakota. Gregory L Wiedel M.D. physically located at 455 Kansas Ave Se, Huron SD, 57350-2522. NPI Number Gregory L Wiedel M.D. has the Individual type.

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1033114871 NPI number is provided on an as is basis without warranty of any kind. 1033114871 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory L Wiedel M.D. are for informational purposes only.