Michel Marie Wicksall in Grand Rapids - Dentist
Michel Marie Wicksall - NPI 1912165556
Michel Marie Wicksall is a Dentist in Grand Rapids, Michigan. Michel Marie Wicksall practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michel Marie Wicksall is 1912165556. The last update date is 2008-05-30.
Michel Marie Wicksall's current location address is 4500 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169759700 and fax number 6169759750. The mailing address for Michel Marie Wicksall is 4500 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michel Marie Wicksall |
|---|---|
| Address | 4500 Cascade Rd Se, Grand Rapids, Michigan |
| Phone Number | 6169759700 |
| Fax Number | 6169759750 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912165556 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 4500 Cascade Rd Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49546 |
| Phone Number | 6169759700 |
| Fax Number | 6169759750 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 16961 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Michel Marie Wicksall's unique identification number?
The Michel Marie Wicksall has been assigned the NPI (National Provider Identifier) Number 1912165556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Michel Marie Wicksall?
The Michel Marie Wicksall is situated at 4500 Cascade Rd Se, in the city of Grand Rapids, state of MI, with the zip code 49546.
What is Michel Marie Wicksall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michel Marie Wicksall is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When did the Michel Marie Wicksall receive its 1912165556?
The Michel Marie Wicksall was issued its 1912165556 on 2008-05-30, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Michel Marie Wicksall most recently updated or revised?
The information pertaining to Michel Marie Wicksall, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-30.
NPI Number: 1982607784
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