Individual
TINA WIEDYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W AUBURN TRL, BRIGHTON, MI 48114-5000
(517) 375-4559
Mailing address
134 W AUBURN TRL, BRIGHTON, MI 48114-5000
(517) 375-4559
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704327515
MI
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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