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Mark Wiederhold, M.D
NPI 1598015745 · on the registry since 2012 · sole proprietor
Practice
- Address
- 9565 Waples St
Suite 200
San Diego, CA 92121 - Phone
- (858) 642-0267
- Fax
- (858) 642-0285
- Organisation at this address
- Aba 360
Sharon Criger Physical Therapy P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-14
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 California