BRENT WIEDERHOLD, MD
Family Medicine
Active
Individual
NPI: 1356915417
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | MD61430168 (WA) |
Frequently Asked Questions
NPI 1356915417 is the National Provider Identifier for BRENT WIEDERHOLD, MD, a Family Medicine provider located in Renton, WA. This NPI was enumerated on May 13, 2021.
BRENT WIEDERHOLD, MD practices at 14410 SE PETROVITSKY RD STE 104, Renton, WA 98058.
Quick Facts
- NPI
- 1356915417
- Type
- Individual
- Enumerated
- May 13, 2021
- Last Updated
- Aug 7, 2025
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