SUSAN ELIZABETH WIEDMEIER

SALT LAKE CITY, UT
NPI1699854265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: UT  172109-1205)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
SUSAN ELIZABETH WIEDMEIER
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-581-2121
Mailing Address
SUSAN ELIZABETH WIEDMEIER
PO BOX 581100
SALT LAKE CITY, UT 84158-1100
Phone number: 801-213-3800