Individual
DR. BRIAN WIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5333 MCAULEY DR, SUITE 109, YPSILANTI, MI 48197
(734) 712-1400
(616) 267-7901
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
5151014375
MI
2084V0102X
Vascular Neurology Physician
Primary
5101027876
MI
Other
Enumeration date
04/03/2020
Last updated
08/12/2025
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