Doctor Name: | RICHARD WESTERMAN |
NPI Number: | 1023289162 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301020469 |
Business Practice Address: | 1603 Evanston Ave Kalamazoo, MI - 490081723 |
Business Phone Number: | 2693814829 |
Business Fax Number: | |
Mailing Address: | 1603 Evanston Ave, KALAMAZOO |
State: | MI |
Postal Code: | 490081723 |
Phone Number: | 2693814829 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301020469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |