Individual
DR. COLLEEN S WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15474 HAGGERTY RD, NORTHVILLE, MI 48170-0844
(248) 615-0889
(734) 404-5317
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0844
(888) 220-6432
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
5101011723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35772
MERIDIAN MEDICAID
MI
05
—
4373137-11
—
MI
Enumeration date
07/20/2006
Last updated
04/19/2013
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