Michael Widjaja, MD

NPI #1184285249 in Frankfort, Kentucky

Provider Information

NPI Number: 1184285249
Entity Type: Individual
Name: Michael Widjaja, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 27, 2019
Last Updated: Aug 11, 2022

Practice Location

Address: 299 KINGS DAUGHTERS DR
City: Frankfort
State: Kentucky
ZIP Code: 40601-4186
Phone: (502) 875-5240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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