Individual
ROBERT WIEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E MICHIGAN AVE, LANSING, MI 48912-2894
(517) 272-0520
(517) 272-0483
Mailing address
1601 E MICHIGAN AVE, LANSING, MI 48912-2894
(517) 272-0520
(517) 272-0483
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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