Weiser, Fred E

Weiser, Fred E is an individual health care provider with primary practice located at 519 N Pontiac Trl , Walled Lake MI 48390-3442. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Weiser, Fred E can be contacted via phone (248) 624-1707.

Contact Information

Primary practice address
519 N Pontiac Trl Walled Lake MI 48390-3442
Fax: (248) 624-0203
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002481 Michigan

Profile Details

NPI number 1023175841
LBN Legal business name Weiser, Fred E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 7th, 2020 - about 4 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 1023175841 NPPES
Michigan MEDICAID 1023175841

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