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

Widya Adidharma

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437713211

Widya Adidharma is a Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

4029 Ave Maria Dr Lbby A Ste 1200
Ann Arbor, MI 48105
Phone: (734) 998-6022
Fax: (734) 998-6696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351044143 (MI)

Record details

NPI number1437713211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2019
Last updated in NPPESApril 26, 2019
Mailing address1500 E Medical Center Drive, 2130 Tc, Ann Arbor, MI 48109-5340

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