Provider Demographics
NPI:1346821329
Name:WEILAND, TEHMINA
Entity Type:Individual
Prefix:MRS
First Name:TEHMINA
Middle Name:
Last Name:WEILAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 FISHER RD STE J
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1600
Mailing Address - Country:US
Mailing Address - Phone:313-690-7611
Mailing Address - Fax:313-557-0868
Practice Address - Street 1:377 FISHER RD STE J
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-1600
Practice Address - Country:US
Practice Address - Phone:313-690-7611
Practice Address - Fax:313-557-0868
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty