Wedder, Mark Winfield

Wedder, Mark Winfield is an individual health care provider with primary practice located at 3333 Evergreen Dr Ne , Grand Rapids MI 49525-9756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wedder, Mark Winfield can be contacted via phone (616) 364-4200.

Contact Information

Primary practice address
3333 Evergreen Dr Ne Grand Rapids MI 49525-9756
Phone: (616) 364-4200
Fax: (616) 364-7347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5101013737 Michigan

Profile Details

NPI number 1750361044
LBN Legal business name Wedder, Mark Winfield
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 3rd, 2014 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1750361044 NPPES
Michigan MEDICAID 4398940

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