Wiedmer, Michael Roger
Wiedmer, Michael Roger is an individual health care provider with primary practice located at 731 Leighton Ave Suite 300, Anniston AL 36207-5761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wiedmer, Michael Roger can be contacted via phone (256) 236-4121.Contact Information
Primary practice address
731 Leighton Ave Suite 300
Anniston AL 36207-5761
Phone: (256) 236-4121
Fax: (256) 237-5254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD.23204 | Alabama |
Profile Details
| NPI number | 1225027790 |
|---|---|
| LBN Legal business name | Wiedmer, Michael Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jun 13th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225027790 | NPPES |
| Alabama | Other | 051094128 | BLUE SHIELD |
| Alabama | MEDICAID | 000094128 | BLUE SHIELD |
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