Dr. Eric Walter Widera
Geriatric Medicine
4150 Clement St # 181nh
San Francisco
, California 94121-1545
Dr. Eric Walter Widera
Geriatric Medicine
4150 Clement St # 181nh
San Francisco
, California 94121-1545
(415) 221-4810
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Eric Walter Widera
- 90 Parker Ave Apt 205
- San Francisco, CA
- Zip : 94118-2657
- Phone : (415) 221-4810
Second Address
- Dr. Eric Walter Widera
- 4150 Clement St # 181nh
- San Francisco, CA
- Zip : 94121-1545
- Phone : (415) 221-4810
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | A 92319 | CA |
National Provider Identifier
| NPI | 1124134309 |
|---|---|
| Provider Name | Dr. Eric Walter Widera |
| First Address | San Francisco, CA 94118-2657 |
| Second Address | San Francisco, CA 94121-1545 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.