JEFFERSON MARK WIEDEMANN

ARCATA, CA
NPI1992741219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G82232)
Enumeration Date2006-06-22
Last Update Date2009-06-18
Business Address
JEFFERSON MARK WIEDEMANN M.D.
3800 JANES RD
ARCATA, CA 95521-4742
Phone number: 707-822-3621
Mailing Address
JEFFERSON MARK WIEDEMANN M.D.
PO BOX 496084
REDDING, CA 96049-6084
Phone number: 530-241-0473
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