National Provider Identifier

Victoria Wiedemer

Victoria Wiedemer is listed in the NPPES registry with a primary specialty of Athletic Trainer in Williamsville, NY and a listed phone number of (716) 479-3585.

NPI 1780356634Williamsville, NYAthletic Trainer

Profile Overview

NPI
1780356634
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
September 29, 2021
Last Updated
September 29, 2021

Practice Location

  • 11 Fox Chapel Ct
  • Williamsville, NY 14221-4513

Phone: (716) 479-3585

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1780356634
Entity Type
Individual
Last Name
Wiedemer
First Name
Victoria
Mailing Street Address
11 Fox Chapel Ct
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4513
Mailing Country
US
Mailing Phone
(716) 479-3585
Practice Street Address
11 Fox Chapel Ct
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-4513
Practice Country
US
Practice Phone
(716) 479-3585
Enumeration Date
September 29, 2021
Last Updated
September 29, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
September 29, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)