Provider Demographics
NPI:1649340399
Name:WEI, BETTY D (DO)
Entity type:Individual
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First Name:BETTY
Middle Name:D
Last Name:WEI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1107 E MILLER RD
Mailing Address - Street 2:PO BOX 27547
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-5312
Mailing Address - Country:US
Mailing Address - Phone:517-882-3318
Mailing Address - Fax:517-882-5822
Practice Address - Street 1:6130 W SAGINAW HWY
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2465
Practice Address - Country:US
Practice Address - Phone:517-321-8265
Practice Address - Fax:517-882-5822
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MIBW008231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE25578Medicare UPIN