Jerad Widman
NPI #1871780825 in Spring Hill, Kansas
Provider Information
- NPI Number
- 1871780825
- Entity Type
- Organization
- Organization Name
- Jerad Widman
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 3, 2007
- Last Updated
- Aug 16, 2017
Practice Location
- Address
- 22450 S HARRISON ST
- Address 2
- SUITE 100
- City
- Spring Hill
- State
- Kansas
- ZIP Code
- 66083-8882
- Phone
- (913) 592-2720
Authorized Official
- Name
- MRS. ALI SEELING, RN
- Title
- PRACTICE MANAGER
- Phone
- (913) 592-2720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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Organizations
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| Kansas Wound Therapy, LLC | AI Deep Dive |
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