Individual
DR. JEREMIAH A WEEKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 953-7000
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3354
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101009248
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4560452
—
MI
05
—
10-4560470
—
MI
05
—
11-4560390
—
MI
05
—
11-4560407
—
MI
05
—
11-4560425
—
MI
05
—
11-4560434
—
MI
05
—
11-4560461
—
MI
05
—
11-4560480
—
MI
01
—
11291739
CAQH
MI
Enumeration date
01/09/2006
Last updated
07/02/2013
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