Individual
KRISTIN ANNE WEIDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 W GRAND RIVER AVE STE 2, OKEMOS, MI 48864-2394
(517) 349-6560
(517) 349-5796
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 349-6560
(517) 349-5796
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101025661
MI
Other
Enumeration date
05/01/2018
Last updated
06/29/2021
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