Gary Mark Wiedeman, DC

Chiropractor · Greeley, CO

Individual Active NPI

NPI number 1205855509

Practice location

2716 23rd Ave
Greeley, CO 80634-6920
Phone
(970) 353-5300
Fax
(970) 353-5332

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NPI record

NPI
1205855509
Entity type
Individual (Type 1)
Enumeration date
July 18, 2006
Last updated
July 9, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 1689 CO

About Dr. Wiedeman

Gary Mark Wiedeman, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2716 23rd Ave, Greeley, CO 80634-6920. The NPI number 1205855509 was assigned on July 18, 2006 and the record was last updated on July 9, 2012.

Dr. Wiedeman lists a license in the registry: #1689 (CO) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Mark Wiedeman, DC?

The NPI number is 1205855509.

What is the phone number of Dr. Wiedeman?

The phone number listed for the practice location is (970) 353-5300.

Where is Dr. Wiedeman located?

2716 23rd Ave, Greeley, CO 80634-6920.

What is the taxonomy code for Dr. Wiedeman?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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