Wideman, Brian

Wideman, Brian is an individual health care provider with primary practice located at 25 Michigan St Ne Ste 6100 , Grand Rapids MI 49503-2561. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Wideman, Brian can be contacted via phone (616) 267-7900.

Contact Information

Primary practice address
25 Michigan St Ne Ste 6100 Grand Rapids MI 49503-2561
Phone: (616) 267-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 5101027876 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5151014375 Michigan

Profile Details

NPI number 1295364008
LBN Legal business name Wideman, Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2020
Last updated May 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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