Individual
DR. BRETT PETER WIATER
Active
Sole proprietor
No
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
(844) 598-9632
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
4301100360
MI
207XS0106X
Orthopaedic Hand Surgery Physician
4301100360
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI10377044
MEDCARE PTAN
MI
Enumeration date
08/31/2006
Last updated
04/17/2026
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