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General NPI Number Information
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NPI Number | 1558685180
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Entity Type | Individual
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Provider Name | ANGELA CHRISTINE WEYAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 1500 EAST MEDICAL CENTER DRIVE 7TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
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City | ANN ARBOR
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State | MI
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Zip | 48109-4257
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Country | US
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Telephone | 734-936-9814
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 SOUTH STATE STREET 700 KMS PLACE
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 734-936-2047
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 4301102467
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License Number State | MI
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