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1972690022
JEROME WIEDEL
AURORA, CO
NPI
1972690022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery
(Licence: CO 15797)
Enumeration Date
2006-10-09
Last Update Date
2012-09-17
Business Address
JEROME WIEDEL MD
12605 E 16TH AVE
AURORA, CO 80045-2545
Phone number: 720-848-0000
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Mailing Address
JEROME WIEDEL MD
PO BOX 110429
AURORA, CO 80042-0429
Phone number: 303-493-7000
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