Healthcare Provider Details

I. General information

NPI: 1629076211
Provider Name (Legal Business Name): HELEN WEI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 10/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 W AVON RD SUITE 9
ROCHESTER HILLS MI
48307-2760
US

IV. Provider business mailing address

940 W AVON RD SUITE 9
ROCHESTER HILLS MI
48307-2760
US

V. Phone/Fax

Practice location:
  • Phone: 248-609-2353
  • Fax: 248-609-2352
Mailing address:
  • Phone: 248-609-2353
  • Fax: 248-609-2352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberHB057208
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: