MARK L MIEDEMA M.D.
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Pain Medicine
Provider Information
- NPI Number
1205063211- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 3317 N WIMBERLY DR, FAYETTEVILLE, AR, 727034056
- Phone
- (479) 521-2752
- Fax
- (479) 443-7862
Specialties & Taxonomies
Physical Medicine & Rehabilitation
License: AR #E-9691
Family Medicine
License: FL #13487
Physical Medicine & Rehabilitation, Pain Medicine
License: CO #49437
Physical Medicine & Rehabilitation, Pain Medicine
Primary License: AR #E-9691