Wiater, Bridget
Wiater, Bridget is an individual health care provider with primary practice located at 3601 W 13 Mile Rd 400 Fsc-Pcs, Royal Oak MI 48073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Wiater, Bridget can be contacted via phone (248) 423-2481.Contact Information
Primary practice address
3601 W 13 Mile Rd 400 Fsc-Pcs
Royal Oak MI 48073
Phone: (248) 423-2481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301072275 | Michigan |
Profile Details
| NPI number | 1164482253 |
|---|---|
| LBN Legal business name | Wiater, Bridget |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Oct 9th, 2022 - about 2 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 | 1164482253 | NPPES |
| Michigan | MEDICAID | 4685386 | |
| Michigan | Other | 300F362420 |
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