J Michael Wiater MD,PC
Organization Active NPI Orthopaedic Surgery Physician · Beverly Hills, MI
NPI 1376719922 · NPPES record last updated Jul 21, 2008
Key facts
- NPI
- 1376719922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 061840 (MI)
- Legal business name
- J MICHAEL WIATER MD,PC
- Practice address
- 17877 W Fourteen Mile Rd
Beverly Hills, MI 48025 - Phone
- (248) 644-3920
- Fax
- (248) 644-2569
- NPI assigned
- May 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Victoria L Reynolds
- Title
- Practice Administrator
- Phone
- (248) 341-2440
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 061840 | MI | Yes |
Addresses
Primary practice location
17877 W Fourteen Mile Rd
Beverly Hills, MI 48025
Mailing address
17877 W Fourteen Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4096126 | Medicaid | MI |
Other providers in Beverly Hills, MI
- Olivia Hutchison
- Anthony Iacco
- Angela Dena Iceberg
- Nicole S Ide
- Indira C. Misra Higgins, DO PLLC
- Emily Jacobs
- Emily Janina Jamett
- Jarc
- Jarc
- Jerome P Wiater MD,PC
All providers in Beverly Hills, MI · Orthopaedic Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.