Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HARALD J.A. WIEDEMANN, M.D.
Active Sole ProprietorDR. HARALD J.A. WIEDEMANN, M.D. is a Anesthesiology healthcare provider located in KETCHUM, Idaho. NPI 1619103249 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · KETCHUM, ID
Registration Details
- NPI Number
- 1619103249
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2009 (17.218954847219 yrs)
- Last Updated
- Jan 31, 2014
- License
-
M-2626 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 DEER RUN RD.KETCHUM, ID, 833402290Browse ID providers · Browse ZIP 83340
- Phone
- 2087265592
- Fax
- 2087265592
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in KETCHUM, ID
| Name | Credential | NPI |
|---|---|---|
| ALBERT R TREARSE | M.D. | 1508864851 |
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.