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Geoffrey Paul Wiedeman JR., MD
Specialist in Sacramento, California
NPI 1790721132

Geoffrey Paul Wiedeman JR. is a Specialist based in Sacramento, CA. Geoffrey Paul Wiedeman JR. practices in Sacramento, CA and has the professional credentials of MD. The NPI Number for Geoffrey Paul Wiedeman JR. is 1790721132 and holds a License No. G30750 (California).

The current practice location address for Geoffrey Paul Wiedeman JR. is 1201 Alhambra Blvd, Sacramento, CA and can be reached out via phone at 916-457-4263 and via fax at 916-731-7809.

Location: 1201 Alhambra Blvd, Sacramento, CA, 95816-5243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790721132
Provider Name
Geoffrey Paul Wiedeman JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1201 Alhambra Blvd, Sacramento, CA, 95816-5243
Phone Number
916-457-4263
Fax Number
916-731-7809
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1201 Alhambra Blvd
City
Sacramento
State
California
Zip
95816-5243
Phone Number
916-457-4263
Fax Number
916-731-7809
person
Provider Business Mailing Address Details
Address
1201 Alhambra Blvd
City
Sacramento
State
California
Zip
95816-5243
Phone Number
916-457-4263
Fax Number
916-731-7809
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G30750 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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