# BRETT P WIATER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578991295
- **Authorized official:** BRETT P WIATER MD (ORTHOPAEDIC SURGERY)
- **Authorized official phone:** (248) 644-3920

## Contact information

- **Practice address:** 17877 W 14 MILE RD, BEVERLY HILLS, MI 48025-3127
- **Practice address phone:** (248) 644-3920
- **Practice address fax:** (248) 644-2569
- **Mailing address:** 17877 W 14 MILE RD, BEVERLY HILLS, MI 48025-3127
- **Mailing address phone:** (248) 644-3920
- **Mailing address fax:** (248) 644-2569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 430110036 | MI | Yes |

## Other

- **Enumeration date:** 10/15/2013
- **Last updated:** 04/22/2015