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PALMA ANNE WIDEMAN M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1346455995
Individual Registrant: PALMA ANNE WIDEMAN M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
17080 LOGANBERRY COURT MEADOW VISTA, CA 95722-1379 US
Tel: 530-878-6361 Fax: --
Tel: 530-878-6361 Fax: --
Contact information for business:
PO BOX 1379 MEADOW VISTA, CA 95722-1379 US
Tel: 530-878-6361 Fax: --
Tel: 530-878-6361 Fax: --
Registration Information:
NPI: 1346455995
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | CA | G47944 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
