Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK L MIEDEMA, M.D.
ActiveMARK L MIEDEMA, M.D. is a Pain Medicine (PM&R) healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1205063211 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1205063211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2009 (17.183998751176 yrs)
- Last Updated
- Mar 19, 2025
- Licenses
-
E-9691 (AR)13487 (FL)49437 (CO)E-9691 (AR)
Practice Information
- Address
-
3317 N WIMBERLY DRFAYETTEVILLE, AR, 727034056Browse AR providers · Browse ZIP 72703
- Phone
- 4795212752
- Fax
- 4794437862
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Pain Medicine (PM&R)
Other Pain Medicine (PM&R) Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MARY FRANCES DAUT | MD | 1366471211 |
| GEORGE W DEIMEL IV | MD | 1669603064 |
| DR. CALE MCARTHUR WHITE | MD | 1295296457 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.