Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Blaine Widmer, DO

Individual provider Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1497490254

Michael Blaine Widmer, DO is a Hospice and Palliative Medicine (Internal Medicine) Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone: (602) 839-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 012550 (AZ)

Record details

NPI number1497490254
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2022
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address1111 E McDowell Rd, Phoenix, AZ 85006-2612

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