Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLAS A. WIEDER, DO
ActiveNICOLAS A. WIEDER, DO is a Vascular Surgery healthcare provider located in KENNESAW, Georgia. NPI 1467500322 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · KENNESAW, GA
Registration Details
- NPI Number
- 1467500322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2007 (19.62461403219 yrs)
- Last Updated
- Dec 2, 2016
- Licenses
-
20A5558 (CA)075400 (GA)
Practice Information
- Address
-
750 TOWNPARK LANEKAISER PERMANENTE TOWNPARK MEDICAL CENTERKENNESAW, GA, 30144Browse GA providers · Browse ZIP 30144
- Phone
- 8183752000
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
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.