NPI 1003083957

Peter L Wickens D.O.,p.C.

Organisation Primary Care Clinic/Center Warren, MI

Practice location

Address: 14050 E 14 Mile Rd, Warren, MI 48088-5765
Phone: (586) 293-2088
Fax: (586) 293-5502
Mailing address: 14050 E 14 Mile Rd Warren, Warren, MI 48088-5765

Authorised official

Name: Peter L Wickens
Title: President
Phone: (586) 293-2088

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 5101006061 (MI)

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1003083957
Entity type: Organization
NPI issued: 9 May 2008
Record last updated: 9 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.