Doctor Name: | CLIFFORD JOSEPH WEDEL |
NPI Number: | 1659540680 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 6501000293 |
Business Practice Address: | 3375 N Linden Rd #515 Flint, MI - 485045719 |
Business Phone Number: | 8102301030 |
Business Fax Number: | 8102301038 |
Mailing Address: | 1220 E Reid Rd, GRAND BLANC |
State: | MI |
Postal Code: | 484398835 |
Phone Number: | 8105154052 |
Fax Number: | 8106943855 |
NPI Enumeration Date: | 02/24/2008 |
NPI Last Update Date: | 02/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6501000293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |