Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TODD M WIEDELL, O.D.
Active Sole ProprietorDR. TODD M WIEDELL, O.D. is a Optometrist healthcare provider located in PEQUOT LAKES, Minnesota. NPI 1295781425 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PEQUOT LAKES, MN
Registration Details
- NPI Number
- 1295781425
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.212806001805 yrs)
- Last Updated
- Jan 21, 2019
- License
-
2945 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30960 GOVERNMENT DRPEQUOT LAKES, MN, 564721003Browse MN providers · Browse ZIP 56472
- Phone
- 2185685555
- Fax
- 2185688904
- Primary Specialty
-
Optometrist
152W00000X
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.