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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALLISON LYNN WIEDEMANN, OD

Active Sole Proprietor

ALLISON LYNN WIEDEMANN, OD is a Optometrist healthcare provider located in BLAINE, Minnesota. NPI 1770674160 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BLAINE, MN

Registration Details

NPI Number
1770674160
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2006 (19.848734448434 yrs)
Last Updated
Aug 2, 2013
Licenses
OPT002322 (GA)
3164 (MN)
Sole Proprietor
Yes

Practice Information

Address
570 NORTHTOWN DR NE
BLAINE, MN, 554341043
Browse MN providers · Browse ZIP 55434
Phone
7637844081
Fax
8668222088
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in BLAINE, MN

Name Credential NPI
DR. CHAD M. KRIETLOW O.D. 1295849917
JEAN L LAYMAN O.D. 1689785636
ROBERT CHOUS OD 1992886519
MRS. ANGELA M MUSLAND O.D. 1932257284
LYNN ALAN SULERUD O.D. 1013060409
JOHN BOCKHAUS O. D. 1841326584
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.