location
search-icon
person
Dr. Brian Wideman, DO
Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan
NPI 1295364008

Brian Wideman is a Student in an Organized Health Care Education/Training Program based in Grand Rapids, MI. Brian Wideman practices in Grand Rapids, MI and has the professional credentials of DO. The NPI Number for Brian Wideman is 1295364008 and holds a License No. 5151014375 (Michigan).

The current practice location address for Brian Wideman is 2750 E Beltline Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-267-7104 and via fax at 616-267-7594.

Location: 2750 E Beltline Ave Ne, Grand Rapids, MI, 49525-8614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295364008
Provider Name
Brian Wideman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2750 E Beltline Ave Ne, Grand Rapids, MI, 49525-8614
Phone Number
616-267-7104
Fax Number
616-267-7594
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2750 E Beltline Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-8614
Phone Number
616-267-7104
Fax Number
616-267-7594
person
Provider Business Mailing Address Details
Address
2750 E Beltline Ave Ne
City
Grand Rapids
State
Michigan
Zip
49525-8614
Phone Number
616-267-7104
Fax Number
616-267-7594
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151014375 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Grand Rapids, Michigan:

institution
Forest View Psychiatric Hospital Inc
NPI 1902808272
Student in an Organized Health Care Education/Training Program
1055 Medical Park Dr Se,
GRAND RAPIDS, MI
49546-3671
616-942-9610
More