PETER L WICKENS D.O.,P.C.

NPI # 

Practice Address:

14050 E 14 Mile Rd

Warren, MI, 48088-5765

Practice Phone:

586-293-2088

Practice Fax:

586-293-5502

License Number:

5101006061

License State:

MI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X

Updated by NPPES on 5/9/2008. You can view the original data set for NPI # 1003083957 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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PETER L WICKENS D.O.,P.C.'s

CMS CPT® coding data

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PETER L WICKENS D.O.,P.C.'s

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