Dr. Weston Mark Anderson, DO
Psychiatry & Neurology, Psychiatry in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1982134623
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982134623
- Entity type
- Individual (NPI-1)
- Name
- Dr. Weston Mark Anderson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 5151012040 | MI | Yes |
Practice location
300 68th Street SePine Rest Christian Mental Health Services
Grand Rapids, MI 49548
Phone 616-456-0842 · Fax 616-559-5864
Mailing address
300 68th Street SePine Rest Christian Mental Health Services
Grand Rapids, MI 49548
Phone 616-456-0842 · Fax 616-559-5864
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