Search › North Dakota › 363LF0000X
Brent Wiederholt, NP-C
NPI 1588825723 · on the registry since 2008
Practice
- Address
- N10 North River Road
Fort Yates, ND 58538 - Phone
- (701) 854-3831
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WE0003X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-23
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 North Dakota