Wesolowski, Jeffrey Robert
Wesolowski, Jeffrey Robert is an individual health care provider with primary practice located at 1500 East Medical Center Dr B1 Floor University Hospital Recp C, Ann Arbor MI 48109-5030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wesolowski, Jeffrey Robert can be contacted via phone (734) 936-4566.Contact Information
Primary practice address
1500 East Medical Center Dr B1 Floor University Hospital Recp C
Ann Arbor MI 48109-5030
Phone: (734) 936-4566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301089073 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD180766 | Oregon |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 4301089073 | Michigan |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD180766 | Oregon |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD60703635 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0063047 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60703635 | Washington |
Profile Details
| NPI number | 1962474163 |
|---|---|
| LBN Legal business name | Wesolowski, Jeffrey Robert |
| Credentials | MD, MHSA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jun 29th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962474163 | NPPES |
| Maryland | Other | 2849 | B/C B/S |
| Maryland | Other | J062 | B/C B/S |
| Maryland | Other | KA80 | B/C B/S |
| Maryland | MEDICAID | 407969800 | B/C B/S |
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