Individual
KIRSTIN IRENE WEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
929 BOWMAN RD STE 400, MOUNT PLEASANT, SC 29464-3237
(843) 730-4124
Mailing address
4600 WOODWARD AVE APT 504, DETROIT, MI 48201-1896
(248) 804-0497
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO83809
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2018
Last updated
11/30/2023
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