Individual provider · Type 1 NPI

Eleanor Rachael Wiedeman, PA-C

Medical Physician Assistant · Southfield, MI

NPI number 1053067181 Active

Practice location

26025 Lahser Rd Fl 2
Southfield, MI 48033-2606

Call (248) 663-1900 Map

Fax (844) 598-9633

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158

Other practice locations

  • 24255 W 13 Mile Rd Ste 100, Bingham Farms, MI 48025-4345 · (248) 988-8085
  • 26750 Providence Pkwy Ste 220, Novi, MI 48374-1212 · (248) 596-0412
  • 30575 Woodward Ave, Royal Oak, MI 48073-0980 · (248) 280-8550
  • 1350 Kirts Blvd Ste 160, Troy, MI 48084-4852 · (248) 244-9426
  • 4967 Crooks Rd Ste 100, Troy, MI 48098-5812 · (248) 846-8060
  • 33200 W 14 Mile Rd Ste 220, West Bloomfield, MI 48322-3586 · (248) 855-7400
  • 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 · (248) 644-3920
  • 45816 Schoenherr Rd, Shelby Township, MI 48315-6028 · (586) 842-2400

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601011030TMP22 (MI)

Medical Physician Assistant: Definition to come...

14 other providers at this address

Other medical physician assistant providers in Southfield

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About NPI 1053067181

Eleanor Rachael Wiedeman, PA-C's National Provider Identifier is 1053067181, issued on Feb 28, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southfield, MI. The record was last updated on Apr 22, 2026.