Nicole Wiedeke
NPI #1336699818 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1336699818
- Entity Type
- Individual
- Name
- Nicole Wiedeke
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 10, 2016
- Last Updated
- Oct 10, 2016
Practice Location
- Address
- 9041 NW 12TH COURT
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33024
- Phone
- (954) 825-9281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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