Eric Wideburg, D.O. is a diagnostic radiology radiology in Thiensville, WI with 7 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Eric Wideburg, D.O. NPI is 1679004469. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2017
The provider's business location address is:
10945 N PORT WASHINGTON RD STE 201
THIENSVILLE, WI
ZIP 53092-078
Phone: (262) 292-3151
Fax: (262) 643-4707
The NPI 1679004469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/23/2017 and was last updated on 8/15/2023.