Search › Michigan › 2080P0210X
Larysa Wickman, M.D
NPI 1063603082 · on the registry since 2007
Practice
- Address
- 1500 E Medical Center Dr
1st Floor Taubman Center Recp D
Ann Arbor, MI 48109 - Phone
- (734) 936-4210
- Organisation at this address
- University Of Michigan
University Of Michigan
University Of Michigan
University Of Michigan Hospital
University Of Michigan HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5,890
Additional practice sites
- 3535 W 13 Mile Rd Ste 707, Royal Oak, MI
Registry record
- Primary taxonomy
- 2080P0210X
2080P0210X
- Also registered as
- 208000000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan