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ROBERT WIEDEMANN
NPI 1093208118
Peer Specialist in Canton, MI

Active since June 13, 2018
50430 SCHOOL HOUSE RD, CANTON, MI 48187(734) 495-1722 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Wiedemann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT WIEDEMANN (NPI 1093208118) is an individual peer specialist in Canton, Michigan, licensed in Michigan (N346195) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1093208118
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameROBERT WIEDEMANN
Location Address50430 SCHOOL HOUSE RDCanton, MI 48187-5910
Mailing Address50430 School House RdCanton, MI 48187-5910 · (734) 495-1722
Phone(734) 495-1722
Sole ProprietorYes
Enumeration DateJune 13, 2018
Last NPPES UpdateJune 16, 2018
✔ NPI 1093208118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in MI · N346195
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
50430 SCHOOL HOUSE RD, Canton, MI 48187
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Other Identifiers 1

Medicaid213119549MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE TOPOREK
Counselor (Addiction (Substance Use Disorder))
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722
WILLIAM CARROLL
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 589-7974
MISS MARIN KOLASA
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722
MR. NATHANIEL EDISON PONDER LMSW, CCS, CADC
Social Worker (Clinical)
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722
MARY BLACKMON CPRC
Counselor (Addiction (Substance Use Disorder))
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 431-2357
KIRSTEN COLLEEN KELLY CPRC
Peer Specialist
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (248) 329-8954
NASHAWN DEAN RUSSEL LARIVIERE CPRC
Counselor (Addiction (Substance Use Disorder))
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 495-1722
SUMMER JOHNSON LLMSW, CADC
Social Worker (Clinical)
50430 SCHOOL HOUSE RD
CANTON, MI 48187
Wayne County (734) 608-1131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wiedemann's NPI number?

The NPI number for Robert Wiedemann is 1093208118. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Robert Wiedemann located?

Robert Wiedemann practices at 50430 School House Rd, Canton, MI 48187. The listed phone number is (734) 495-1722.

What is Robert Wiedemann's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Robert Wiedemann was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.