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1336255728
JOHN GRANT WIDEMAN
CULLMAN, AL
NPI
1336255728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AL 22380)
Enumeration Date
2006-08-21
Last Update Date
2018-10-30
Business Address
Dr. JOHN GRANT WIDEMAN MD
1800 AL HIGHWAY 157 STE 302
CULLMAN, AL 35058-1273
Phone number: 256-736-6224
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Mailing Address
Dr. JOHN GRANT WIDEMAN MD
503 CLARK ST NE
CULLMAN, AL 35055-1921
Phone number: 256-739-0801
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