Individual provider · Type 1 NPI
Andrew Wideman, DC
Chiropractor · Waterford, MI
NPI number
1396214326
Active
Practice location
5433 Dixie Hwy Ste 205
Waterford, MI 48329-1614
Other practice locations
- 202 W Shiawassee Ave # 100, Fenton, MI 48430-2093 · (810) 629-6023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301010737 (MI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1396214326
Andrew Wideman, DC's National Provider Identifier is 1396214326, issued on Nov 20, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Waterford, MI. The record was last updated on Apr 8, 2019.