Madeline Marie Wideman, DPT
NPI #1184123580 in Clinton Township, Michigan
Provider Information
- NPI Number
- 1184123580
- Entity Type
- Individual
- Name
- Madeline Marie Wideman, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Feb 12, 2018
- Last Updated
- Feb 12, 2018
Practice Location
- Address
- 15500 19 MILE RD STE 330
- City
- Clinton Township
- State
- Michigan
- ZIP Code
- 48038-6313
- Phone
- (586) 412-0016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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