| Kristin Anne Weidert, DO | |
|
1600 W Grand River Ave Ste 2, Okemos, MI 48864-2394 | |
| (517) 349-6560 | |
| (517) 349-5796 |
| Full Name | Kristin Anne Weidert |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1600 W Grand River Ave Ste 2, Okemos, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427546811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101025661 (Michigan) | Primary |
| Entity Name | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639209596 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
| Entity Name | University At Buffalo Pediatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912928599 PECOS PAC ID: 1355235540 Enrollment ID: O20040210000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Anne Weidert, DO 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 349-6560 | Kristin Anne Weidert, DO 1600 W Grand River Ave Ste 2, Okemos, MI 48864-2394 Ph: (517) 349-6560 |
Dr. Jerold Paul Veldman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4436 Copperhill Dr, Okemos, MI 48864 Phone: 517-336-7128 Fax: 517-336-7128 | |
Eleanor A Watson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Kripa Thakur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Ruth Ann Worthington, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 W Gd River Ave, Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Hiram Stephen Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 W Grand River Ave, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-349-5796 | |
Dr. Lauren Marie Azevedo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W Grand River Ave Ste 2, Okemos, MI 48864 Phone: 517-349-6560 Fax: 517-679-8232 |