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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164482253 NPPES
Michigan MEDICAID 4685386
Michigan Other 300F362420

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