Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY MICHAEL WIEDENHOFT, EMT
ActiveMR. LARRY MICHAEL WIEDENHOFT, EMT is a Emergency Medical Services healthcare provider located in MANZANITA, Oregon. NPI 1972139418 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · MANZANITA, OR
Registration Details
- NPI Number
- 1972139418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2020 (6.3877052593708 yrs)
- Last Updated
- Mar 17, 2020
- License
-
143317 (OR)
Practice Information
- Address
-
465 MANZANITA AVEMANZANITA, OR, 971300810Browse OR providers · Browse ZIP 97130
- Phone
- 5037041006
- Primary Specialty
-
Emergency Medical Services
207PE0004X
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.