MARK MIEDEMA, M.D.

Physical Medicine & Rehabilitation - Pain Medicine

Active Individual
NPI: 1205063211

Practice Address

3317 N WIMBERLY DR
Fayetteville, AR 72703

Phone: (479) 521-2752

Specialties

Specialty Code Primary License
Physical Medicine & Rehabilitation 208100000X No E-9691 (AR)
Family Medicine 207Q00000X No 13487 (FL)
Physical Medicine & Rehabilitation - Pain Medicine 2081P2900X Yes E-9691 (AR)

Frequently Asked Questions

NPI 1205063211 is the National Provider Identifier for MARK MIEDEMA, M.D., a Physical Medicine & Rehabilitation - Pain Medicine provider located in Fayetteville, AR. This NPI was enumerated on June 17, 2009.
MARK MIEDEMA, M.D. practices at 3317 N WIMBERLY DR, Fayetteville, AR 72703.

Quick Facts

NPI
1205063211
Type
Individual
Enumerated
Jun 17, 2009
Last Updated
Mar 19, 2025

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