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1619103249
HARALD J.A. WIEDEMANN
KETCHUM, ID
NPI
1619103249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ID M-2626)
Enumeration Date
2009-06-10
Last Update Date
2014-01-31
Business Address
Dr. HARALD J.A. WIEDEMANN M.D.
114 DEER RUN RD.
KETCHUM, ID 83340-2290
Phone number: 208-726-5592
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Mailing Address
Dr. HARALD J.A. WIEDEMANN M.D.
PO BOX 2290
KETCHUM, ID 83340-2290
Phone number: 208-726-5592
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