Dr Harald Ja Wiedemann, MD | |
114 Deer Run Rd., Ketchum, ID 83340-2290 | |
(208) 726-5592 | |
(208) 726-5592 |
Full Name | Dr Harald Ja Wiedemann |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 114 Deer Run Rd., Ketchum, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619103249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | M-2626 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Harald Ja Wiedemann, MD Po Box 2290, Ketchum, ID 83340-2290 Ph: (208) 726-5592 | Dr Harald Ja Wiedemann, MD 114 Deer Run Rd., Ketchum, ID 83340-2290 Ph: (208) 726-5592 |
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› Verified 9 days ago
Albert R Trearse, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8800 |