MARK D WIEDERHOLD

SAN DIEGO, CA
NPI1598015745
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  G66151)
Enumeration Date2012-09-14
Last Update Date2012-09-14
Business Address
-- MARK D WIEDERHOLD M.D.
9565 WAPLES ST SUITE 200
SAN DIEGO, CA 92121-2986
Phone number: 858-642-0267
Mailing Address
-- MARK D WIEDERHOLD M.D.
9565 WAPLES ST SUITE 200
SAN DIEGO, CA 92121-2986
Phone number: 858-642-0267
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