DR. Todd M Wiedell, O.D.

NPI #1295781425 in Pequot Lakes, Minnesota

Provider Information

NPI Number: 1295781425
Entity Type: Individual
Name: DR. Todd M Wiedell, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 26, 2006
Last Updated: Jan 21, 2019

Practice Location

Address: 30960 GOVERNMENT DR
City: Pequot Lakes
State: Minnesota
ZIP Code: 56472-1003
Phone: (218) 568-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
John Kloster	Optometrist	Pequot Lakes	AI Deep Dive
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