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Individual

LENA WIDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4851 E PICKARD ST, MOUNT PLEASANT, MI 48858
(989) 775-1610
(989) 775-1640
Mailing address
4851 E PICKARD ST, MOUNT PLEASANT, MI 48858-2029
(989) 775-1610
(989) 775-1640

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021632
MI

Other

Enumeration date
06/13/2015
Last updated
01/10/2019
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