MEDICARE: DR. DAVID ROBERT WEIDENDORF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301095466	MI

General Provider Information

NPI Number	:	1497088876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ROBERT WEIDENDORF MD

Provider Business Mailing Address
First Line	:	2200 GREEN RD STE B
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-1569
Country	:	US
Telephone Number	:	734-994-7446
Fax Number	:	734-623-8590

Provider Business Practice Location Address
First Line	:	2200 GREEN RD STE B
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-1569
Country	:	US
Telephone Number	:	734-994-7446
Fax Number	:	734-623-8590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	11/08/2023

Similar Medicare Providers

1851039267 — MARIAM ASADULLAH MD
Practice Location Address:

2200 GREEN RD STE B
ANN ARBOR, MI
48105-1569

Practice Phone: 734-994-7446
Practice Fax:

1295730745 — DR. BLANKA GIRARD MD
Practice Location Address:

2200 GREEN RD STE B
ANN ARBOR, MI
48105-1569

Practice Phone: 734-994-7446
Practice Fax:

1780625145 — PARTNERS IN INTERNAL MEDICINE PLLC
Practice Location Address:

2200 GREEN RD , SUITE B
ANN ARBOR, MI
48105

Practice Phone: 734-994-7446
Practice Fax: 734-623-8590

1407853617 — PETER R PAUL MD
Practice Location Address:

2200 GREEN RD , SUITE B
ANN ARBOR, MI
48105

Practice Phone: 734-994-7446
Practice Fax: 734-623-8590

1336147735 — MR. ERIC J STRAKA MD
Practice Location Address:

2200 GREEN RD , SUITE B
ANN ARBOR, MI
48105

Practice Phone: 734-994-7446
Practice Fax: 734-623-8590

1366698789 — MRS. LISA M COGSWELL NP
Practice Location Address:

2200 GREEN RD , SUITE B
ANN ARBOR, MI
48105-2948

Practice Phone: 734-994-7446
Practice Fax: 734-623-8590

Directions to “ DR. DAVID ROBERT WEIDENDORF MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.