DR. Jerad E Widman, M.D.
NPI #1083655039 in Spring Hill, Kansas
Provider Information
- NPI Number
- 1083655039
- Entity Type
- Individual
- Name
- DR. Jerad E Widman, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Oct 23, 2019
Practice Location
- Address
- 22450 S HARRISON ST
- Address 2
- STE. 100
- City
- Spring Hill
- State
- Kansas
- ZIP Code
- 66083-3151
- Phone
- (913) 592-2720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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