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1306898002
MICHAEL ALAN WIEDEMANN
KENNER, LA
NPI
1306898002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA MD017792)
Enumeration Date
2006-05-17
Last Update Date
2010-07-20
Business Address
-- MICHAEL ALAN WIEDEMANN MD
200 WEST ESPLANADE AVENUE
KENNER, LA 70065
Phone number: 504-842-7588
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Mailing Address
-- MICHAEL ALAN WIEDEMANN MD
1514 JEFFERSON HIGHWAY
NEW ORLEANS, LA 70121
Phone number: 504-842-4000
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