DR. ANDREW WIDEMAN (NPI# 1396214326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396214326 |
| Entity Type | Individual |
| Full Name | DR. ANDREW WIDEMAN |
| Credential | D.C. |
| Practice Address |
5433 Dixie Hwy Ste 205 Waterford MI 48329-1614 |
| Practice Telephone | 8106340400 |
| Mailing Telephone | 8106340400 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010737 | MI | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 202 W Shiawassee Ave # 100, Fenton, MI 484302093 | 8106296023 |
| Street Address |
5433 DIXIE HWY STE 205 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558824581 | In-home Family Wellness | Chiropractor | 5433 Dixie Hwy Ste 205, Waterford, MI 48329-1614 | 2019-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710412861 | Paul Robinson D.c.,pllc | Chiropractor | 3901 Highland Rd Ofc D-3, Waterford, MI 48328-2165 | 2017-04-26 |
| 1104371970 | Duncan Chiropractic Group of Waterford, Pllc | Chiropractor | 3801 Elizabeth Lake Rd, Waterford, MI 48328-3017 | 2016-08-22 |
| 1003243452 | Edward C Guzak | Chiropractor | 5140 Highland Rd, Waterford, MI 48327-1912 | 2013-10-01 |
| 1124393814 | Synergy Chiropractic Spine & Joint Center | Chiropractor | 1399 Dundee Dr, Waterford, MI 48327-2005 | 2012-03-14 |
| 1952692469 | Waterford Family Chiropractic Pllc | Chiropractor | 4000 W Walton Blvd Ste A, Waterford, MI 48329-4191 | 2011-05-02 |
| 1144481862 | Jennifer Michelle Jordan | Chiropractor | 262 Boston Post Road, Unit #8, Waterford, CT 06385-2053 | 2008-06-25 |
| 1245403757 | Jacqueline C Vaughn Dc PC | Chiropractor | 3093 Sashabaw, Ste B, Waterford, MI 48329-4089 | 2008-04-04 |
| 1851577274 | White Lake Chiropractic D O P C | Chiropractor | 6929 Highland Rd, Waterford, MI 48327-1679 | 2008-01-16 |
| 1386823623 | Sudowski Chiropractic Offices | Chiropractor | 210 Boston Post Rd, Waterford, CT 06385-2819 | 2007-11-02 |
| 1780716886 | Bernard Joseph Rumph | Chiropractor | 5732 Williams Lake Road, Waterford, MI 48329-3274 | 2007-03-12 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.