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DR. ANDREW WIDEMAN D.C.
NPI 1396214326
Chiropractor in Waterford, MI

Active since November 20, 2018
5433 DIXIE HWY STE 205, WATERFORD, MI 48329(810) 634-0400 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2019, Nov 20, 2018 (2 updates tracked since 2018).

About Dr. Andrew Wideman D.c. NPPES

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

DR. ANDREW WIDEMAN D.C. (NPI 1396214326) is an individual chiropractor in Waterford, Michigan, licensed in Michigan (2301010737) and active in the NPI registry since November 2018. He maintains a secondary practice location in Fenton.

NPPES Registry Identity

NPI1396214326
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANDREW WIDEMANCredential: D.C.
Location Address5433 DIXIE HWY STE 205Waterford, MI 48329-1614
Mailing Address5433 Dixie Hwy Ste 205Waterford, MI 48329-1614 · (810) 634-0400
Phone(810) 634-0400
Sole ProprietorNo
Enumeration DateNovember 20, 2018
Last NPPES UpdateApril 8, 20192 updates tracked since enumeration
✔ NPI 1396214326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301010737
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5433 DIXIE HWY STE 205, Waterford, MI 48329
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Secondary Practice Location 1

Location 1202 W Shiawassee Ave # 100Fenton, MI 48430-2093 · Phone (810) 629-6023

Other Providers at the Same Location NPPES

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

IN-HOME FAMILY WELLNESS
Chiropractor
5433 DIXIE HWY STE 205
WATERFORD, MI 48329
Oakland County (810) 634-0400

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 Andrew Wideman's NPI number?

The NPI number for Andrew Wideman is 1396214326. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Andrew Wideman located?

Andrew Wideman practices at 5433 Dixie Hwy Ste 205, Waterford, MI 48329. The listed phone number is (810) 634-0400.

What is Andrew Wideman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Andrew Wideman was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.