BRIAN WIDEMAN

GRAND RAPIDS, MI
NPI1295364008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: MI  5151014375)
Additional Taxonomies2084V0102X Psychiatry & Neurology, Vascular Neurology
(Licence: MI  5101027876)
Enumeration Date2020-04-03
Last Update Date2024-05-20
Business Address
Dr. BRIAN WIDEMAN DO
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503-2561
Phone number: 616-267-7900
Mailing Address
Dr. BRIAN WIDEMAN DO
2750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525-8614
Phone number: 616-267-7104