Katherine Anne Widerborg, MD

NPI #1588757579 in Normal, Illinois

Provider Information

NPI Number: 1588757579
Entity Type: Individual
Name: Katherine Anne Widerborg, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Oct 2, 2006
Last Updated: Mar 12, 2013

Practice Location

Address: 1537 FORT JESSE RD
Address 2: SUITE A
City: Normal
State: Illinois
ZIP Code: 61761
Phone: (309) 808-0122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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