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Contact Information

MARY K WIEDENHOEFT, OM LAC NCCDOM
17130 ROYAL PALM BLVD
SUITE 2
WESTON, FL33326
 Phone: 954-389-8404
 Fax: 954-389-8404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for MARY K WIEDENHOEFT · (Female)

NPI Number 1255414579
Status Active
Credentials OM LAC NCCDOM
Entity Individual
Enumeration date 10/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # AP1975
Hospital affiliation(s) Not Available
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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