Provider Demographics
NPI:1326595802
Name:WEDER, CHRISTIAN (DVM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:
Last Name:WEDER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24360 NOVI RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2462
Mailing Address - Country:US
Mailing Address - Phone:248-946-4322
Mailing Address - Fax:
Practice Address - Street 1:24360 NOVI RD
Practice Address - Street 2:SUITE A
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2462
Practice Address - Country:US
Practice Address - Phone:248-946-4322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6901011435174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist