Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Wideman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033853734

Matthew Wideman, MD is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone: (901) 759-3275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1033853734
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2022
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address920 Madison Ave Ste 447, Memphis, TN 38103-3438

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