Allison Lynn Wiedemann, OD

NPI #1770674160 in Blaine, Minnesota

Provider Information

NPI Number: 1770674160
Entity Type: Individual
Name: Allison Lynn Wiedemann, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 28, 2006
Last Updated: Aug 2, 2013

Practice Location

Address: 570 NORTHTOWN DR NE
City: Blaine
State: Minnesota
ZIP Code: 55434-1043
Phone: (763) 784-4081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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