DEREK WIEDMEYER

MADISON, WI
NPI1194596080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: WI  548-17)
Additional Taxonomies367H00000X Anesthesiologist Assistant
Enumeration Date2024-01-10
Last Update Date2024-03-06
Business Address
DEREK WIEDMEYER CAA
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-6400
Mailing Address
DEREK WIEDMEYER CAA
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number: