Individual provider · Type 1 NPI
Brian Wideman, DO
Vascular Neurology Physician · Ypsilanti, MI
Practice location
5333 Mcauley Dr, Suite 109
Ypsilanti, MI 48197
Fax (616) 267-7901
Mailing address
24 Frank Lloyd Wright Drive, Suite J2000
Ann Arbor, MI 48105
Other practice locations
- 2750 E Beltline Ave NE, Grand Rapids, MI 49525-8614 · (616) 267-7104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician | 2084N0400X | 5151014375 (MI) |
| Vascular Neurology Physician Primary | 2084V0102X | 5101027876 (MI) |
Vascular Neurology Physician: Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
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About NPI 1295364008
Brian Wideman, DO's National Provider Identifier is 1295364008, issued on Apr 3, 2020. The primary taxonomy on file is Vascular Neurology Physician (2084V0102X), and the practice location is in Ypsilanti, MI. The record was last updated on Aug 12, 2025.