Todd M. Wiedel, O.d., PA

NPI #1831428903 in Pequot Lakes, Minnesota

Provider Information

NPI Number: 1831428903
Entity Type: Organization
Organization Name: Todd M. Wiedel, O.d., PA
Primary Specialty: Optometrist
Enumeration Date: Dec 18, 2009
Last Updated: Oct 10, 2019

Practice Location

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

Authorized Official

Name: DR. TODD M WIEDELL, OD
Title: DIRECTOR OF CORPORATION
Phone: (218) 568-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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Provider Name	Specialty	City
DR. Todd M Wiedell, O.D.	Optometrist	Pequot Lakes	AI Deep Dive
Ann M Hickson, O.D., M.S.	Optometrist	Woodbury	AI Deep Dive
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John Kloster	Optometrist	Pequot Lakes	AI Deep Dive
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