Mark L Miedema
Family Doctor Physical Medicine & Rehabilitation Doctor Pain Medicine
3317 N Wimberly Dr
Fayetteville
, Arkansas 72703-4056
Mark L Miedema
Family Doctor Physical Medicine & Rehabilitation Doctor Pain Medicine
3317 N Wimberly Dr
Fayetteville
, Arkansas 72703-4056
(479) 521-4603
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About
Features
Specialties
- Family Doctor
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Mark L Miedema
- 3317 N Wimberly Dr
- Fayetteville, AR
- Zip : 72703-4056
- Fax : (479) 521-4603
- Phone : (479) 521-2752
Second Address
- Mark L Miedema
- 3317 N Wimberly Dr
- Fayetteville, AR
- Zip : 72703-4056
- Fax : (479) 521-4603
- Phone : (479) 521-2752
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FAQs
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Where did Mark L Miedema do his fellowship?
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What type of doctor is Mark L Miedema
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Where is Mark L Miedema ’s practice located?
What is Mark L Miedema ’s gender?
Is Mark L Miedema a sole practitioner?
Is Mark L Miedema accepting new patients?
What languages does Mark L Miedema speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 13487 | FL |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | E-9691 | AR |
| N | 2081P2900X | Pain Medicine | 49437 | CO |
| Y | 2081P2900X | Pain Medicine | E-9691 | AR |
National Provider Identifier
| NPI | 1205063211 |
|---|---|
| Provider Name | Mark L Miedema |
| First Address | Fayetteville, AR 72703-4056 |
| Second Address | Fayetteville, AR 72703-4056 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2009 |
| Last Update Date | 12/07/2021 |
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.