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Contact Information

MICHAEL A WIEDEMANN, MD
200 WEST ESPLANADE AVENUE
KENNER, LA70065
 Phone: 504-842-7588
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MICHAEL A WIEDEMANN · (Male)

NPI Number 1306898002
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 07/20/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • LA License # MD017792
  • LA Medicaid 1112151
  • LA Medicaid 1380580
  • MS Medicaid 09459713
Hospital affiliation(s)
  • OCHSNER FOUNDATION HOSPITAL - (Acute Care)
    1516 JEFFERSON HWY
    NEW ORLEANS, LA 70121
  • OCHSNER MEDICAL CENTER-KENNER LLC - (Acute Care)
    180 WEST ESPLANADE AVENUE
    KENNER, LA 70065
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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