Individual
DR. JEFFREY ROBERT WESOLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHSA
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP C, ANN ARBOR, MI 48109-5030
(734) 936-4566
Mailing address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
4301089073
MI
2085N0700X
Neuroradiology Physician
MD180766
OR
2085N0700X
Neuroradiology Physician
MD60703635
WA
2085R0202X
Diagnostic Radiology Physician
4301089073
MI
2085R0202X
Diagnostic Radiology Physician
76717
TN
2085R0202X
Diagnostic Radiology Physician
D0063047
MD
2085R0202X
Diagnostic Radiology Physician
MD180766
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60703635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2849
B/C B/S
MD
05
—
407969800
—
MD
01
—
J062
B/C B/S
MD
01
—
KA80
B/C B/S
MD
Enumeration date
02/02/2006
Last updated
02/16/2026
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