Individual
DR. ANDREW WIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5433 DIXIE HWY STE 205, WATERFORD, MI 48329-1614
(810) 634-0400
Mailing address
5433 DIXIE HWY STE 205, WATERFORD, MI 48329-1614
(810) 634-0400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010737
MI
Other
Enumeration date
11/20/2018
Last updated
04/08/2019
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