John Wiederholt, DMD
NPI 1336369073 · on the registry since 2007
Practice
- Address
- 3434 E. Washington Ave
Madison, WI 53704 - Phone
- (608) 443-5550
- Fax
- (608) 443-5554
- Organisation at this address
- Laboratory Corporation Of America
Access Community Health Centers, Inc.
University Of Wisconsin Hospitals And Clinics AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 51
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
Dentist - Licence states on file
- MA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-04
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 Wisconsin