BRENT JAMES WIEDERHOLD

RENTON, WA
NPI1356915417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-13
Last Update Date2021-05-13
Business Address
BRENT JAMES WIEDERHOLD MD
3915 TALBOT RD S STE 401
RENTON, WA 98055-5738
Phone number: 425-690-3445
Mailing Address
BRENT JAMES WIEDERHOLD MD
3600 LIND AVE SW SUITE 100 ATTN CREDENTIALING
RENTON, WA 98057-4970
Phone number: 425-690-2715
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