Tully Wiedman, MD

NPI #1285774182 in Dixon, California

Provider Information

NPI Number: 1285774182
Entity Type: Individual
Name: Tully Wiedman, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Feb 8, 2007
Last Updated: Oct 21, 2009

Practice Location

Address: 5724 SILVEYVILLE ROAD
City: Dixon
State: California
ZIP Code: 95620
Phone: (707) 689-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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