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1699854265
SUSAN ELIZABETH WIEDMEIER
SALT LAKE CITY, UT
NPI
1699854265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: UT 172109-1205)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
SUSAN ELIZABETH WIEDMEIER
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-581-2121
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Mailing Address
SUSAN ELIZABETH WIEDMEIER
PO BOX 581100
SALT LAKE CITY, UT 84158-1100
Phone number: 801-213-3800
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