DR. Brian Wideman, DO is a neurology psychiatry neurology in Grand Rapids, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Brian Wideman, DO NPI is 1295364008. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2750 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525-614
Phone: (616) 267-7104
Fax: (616) 267-7594
The NPI 1295364008 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/3/2020 and was last updated on 5/19/2022.