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Contact Information

BRIDGET WIATER, MD
3601 W 13 MILE RD
400 FSC-PCS
ROYAL OAK, MI48073
 Phone: 248-423-2481
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BRIDGET WIATER · (Female)

NPI Number 1164482253
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 10/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301072275
  • MI Medicaid 4685386
  • MI Other 300F362420 BCBSM
Hospital affiliation(s)
  • BEAUMONT HOSPITAL GROSSE POINTE - (Acute Care)
    468 CADIEUX RD
    GROSSE POINTE, MI 48230
  • WILLIAM BEAUMONT HOSPITAL - (Acute Care)
    3601 W THIRTEEN MILE RD
    ROYAL OAK, MI 48073
  • WILLIAM BEAUMONT HOSPITAL-TROY - (Acute Care)
    44201 DEQUINDRE ROAD
    TROY, MI 48085
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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