Derek Weidman

NPI #1740640820 in Lapeer, Michigan

Provider Information

NPI Number: 1740640820
Entity Type: Individual
Name: Derek Weidman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 2, 2016
Last Updated: Mar 2, 2016

Practice Location

Address: 1555 DEMILLE RD
City: Lapeer
State: Michigan
ZIP Code: 48446-4149
Phone: (810) 667-8110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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