Search › South Dakota › 152W00000X
Nathan Wiederholt, O.D
NPI 1447414461 · on the registry since 2008 · sole proprietor
Practice
- Address
- 322 Mount Rushmore Rd
Suite 120
Custer, SD 57730 - Phone
- (605) 673-2716
- Fax
- (605) 673-2017
- Organisation at this address
- Premier Family Eye Care, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-16
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 South Dakota