John Widergren
NPI #1144290628 in Jacksonville, Florida
Provider Information
- NPI Number
- 1144290628
- Entity Type
- Individual
- Name
- John Widergren
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Surgery
- Enumeration Date
- Jan 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2080 CHILD ST
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32214-5005
- Phone
- (904) 215-7720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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