Search › Minnesota › 152W00000X
Allison Wiedemann, OD
NPI 1770674160 · on the registry since 2006 · sole proprietor
Practice
- Address
- 570 Northtown Dr Ne
Blaine, MN 55434 - Phone
- (763) 784-4081
- Fax
- (866) 822-2088
- Organisation at this address
- Ocularra Holding. Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- GA, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-02
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