Nathan Lyle Wiedemann
Nathan Lyle Wiedemann is a Pharmacist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2017
Practice location Address checks out
11932 Lima RdFort Wayne, IN 46818-8658
Phone: (260) 637-6667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 26027384A (IN) |
|---|
Record details
| NPI number | 1518485796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 7, 2017 |
| Last updated in NPPES | December 16, 2022 |
| Certification date | December 16, 2022 |
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