Individual provider · Type 1 NPI

Geoffrey Paul Wiedeman Jr., MD

Specialist · Sacramento, CA

NPI number 1790721132 Active

Practice location

1201 Alhambra Blvd, 410
Sacramento, CA 95816-5243

Call (916) 457-4263 Map

Fax (916) 731-7809

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG30750 (CA)

Specialist: 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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About NPI 1790721132

Geoffrey Paul Wiedeman Jr., MD's National Provider Identifier is 1790721132, issued on Jun 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 9, 2010.