Individual provider · Type 1 NPI

Scott David Wiedenmann, MD

Diagnostic Radiology Physician · Ponte Vedra Beach, FL

NPI number 1245340744 Active

Practice location

128 Lagoon Forest Dr
Ponte Vedra Beach, FL 32082-2122

Fax (904) 273-9591

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XME51674 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1245340744

Scott David Wiedenmann, MD's National Provider Identifier is 1245340744, issued on Aug 30, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Mar 24, 2012.