Individual provider · Type 1 NPI

Matthew Wideman, MD

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1033853734 Active

Practice location

920 Madison Ave Ste 447
Memphis, TN 38103-3438

Call (901) 759-3275 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033853734

Matthew Wideman, MD's National Provider Identifier is 1033853734, issued on Apr 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Sep 9, 2024.