| Dr Brian Wideman, DO | |
|
5333 Mcauley Dr, Suite 109, Ypsilanti, MI 48197 | |
| (734) 712-1400 | |
| (616) 267-7901 |
| Full Name | Dr Brian Wideman |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Vascular Neurology |
| Location | 5333 Mcauley Dr, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295364008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 5151014375 (Michigan) | Secondary |
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | 5101027876 (Michigan) | Primary |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Wideman, DO 24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105 Ph: (734) 747-6766 | Dr Brian Wideman, DO 5333 Mcauley Dr, Suite 109, Ypsilanti, MI 48197 Ph: (734) 712-1400 |
Theron Leroy Dobson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197 Phone: 734-712-1400 Fax: 734-712-1670 | |
Dr. Emily Lauren Westbury, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197 Phone: 734-712-1400 Fax: 734-623-2857 | |
Srijan Adhikari, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Trinity Health Iha Medical Group Neurology, 5333 Mcauley Drive, Ypsilanti, MI 48197 Phone: 734-712-1400 Fax: 734-623-2857 | |
Patricia Anne Santy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3000 Fax: 734-544-6732 | |
Montgomery Clayton Brower, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 Towner St, Ypsilanti, MI 48198 Phone: 734-544-3050 Fax: 734-544-6732 | |
Dionne Swor, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr., Suite 6109, Ypsilanti, MI 48197 Phone: 419-291-1111 Fax: 419-479-3253 | |
Dr. Kirtida A Patel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3201 Bemis Road, Huron Valley Complex-men's, Ypsilanti, MI 48197 Phone: 734-572-9942 |