Wiedower, Eric R.

Wiedower, Eric R. is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wiedower, Eric R. can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Blvd Germantown TN 38138-1733
Phone: (901) 683-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 3015 Tennessee
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 24301 Mississippi

Profile Details

NPI number 1154633857
LBN Legal business name Wiedower, Eric R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2010
Last updated Jan 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154633857 NPPES
Mississippi MEDICAID 08484348
Mississippi MEDICAID Q022586

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