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Keith Wiedrich, ATC
NPI 1356378848 · on the registry since 2006
Practice
- Address
- 1107 7th St. S.
Msu Moorhead - Athletics
Moorhead, MN 56563 - Phone
- (218) 477-2626
- Fax
- (218) 477-5943
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2007-07-08
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