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TULLY WIEDMAN MD
NPI 1285774182
Emergency Medicine in Dixon, CA

Active since February 08, 2007
5724 SILVEYVILLE ROAD, DIXON, CA 95620(707) 689-6522 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tully Wiedman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TULLY WIEDMAN MD (NPI 1285774182) is an individual emergency medicine provider in Dixon, California, licensed in California (C35371) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1285774182
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTULLY WIEDMANCredential: MD
Location Address5724 SILVEYVILLE ROADDixon, CA 95620
Mailing AddressPo Box 369Dixon, CA 95620-0369 · (707) 689-6522
Phone(707) 689-6522
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateOctober 21, 2009
✔ NPI 1285774182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · C35371
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5724 SILVEYVILLE ROAD, Dixon, CA 95620
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Other Identifiers 3

Medicare ID-Type Unspecified00C353710
Medicare UPINA35956
Medicaid00C353710CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tully Wiedman's NPI number?

The NPI number for Tully Wiedman is 1285774182. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Tully Wiedman located?

Tully Wiedman practices at 5724 Silveyville Road, Dixon, CA 95620. The listed phone number is (707) 689-6522.

What is Tully Wiedman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Tully Wiedman was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.