Individual
DR. J MICHAEL WIATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17877 W 14 MILE RD, BEVERLY HILLS, MI 48025-3127
(248) 644-3920
(248) 644-2569
Mailing address
26211 CENTRAL PARK BLVD STE 201, SOUTHFIELD, MI 48076-4158
(833) 667-3627
(833) 972-5509
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301061840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4096126
—
MI
Enumeration date
11/16/2005
Last updated
04/21/2026
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