Palma Anne Wideman, M.D.

NPI #1346455995 in Meadow Vista, California

Provider Information

NPI Number: 1346455995
Entity Type: Individual
Name: Palma Anne Wideman, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 17080 LOGANBERRY COURT
City: Meadow Vista
State: California
ZIP Code: 95722-1379
Phone: (530) 878-6361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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