Search › Minnesota › 152W00000X
Todd Wiedell, O.D
NPI 1295781425 · on the registry since 2006 · sole proprietor
Practice
- Address
- 30960 Government Dr
Pequot Lakes, MN 56472 - Phone
- (218) 568-5555
- Fax
- (218) 568-8904
- Organisation at this address
- Todd M. Wiedel, O.D., Pa
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 13833 Riverwood Ln Ste 3, Crosslake, MN
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota