Mikel Robert Weideman, O.D.

NPI #1952464604 in Lander, Wyoming

Provider Information

NPI Number: 1952464604
Entity Type: Individual
Name: Mikel Robert Weideman, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 17, 2006
Last Updated: May 7, 2020

Practice Location

Address: 556 MAIN ST
City: Lander
State: Wyoming
ZIP Code: 82520-3032
Phone: (307) 332-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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