MICHAEL WIEDERSTEIN

ELK GROVE, CA
NPI1609918838
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY 11582)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
-- MICHAEL WIEDERSTEIN Ph.D.
9120 TRUMBAUER WAY
ELK GROVE, CA 95758
Phone number: 916-662-5893
Mailing Address
-- MICHAEL WIEDERSTEIN Ph.D.
9120 TRUMBAUER WAY
ELK GROVE, CA 95758
Phone number: 916-662-5893
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