Search › Michigan › 207P00000X
Melany Wiczorek, MD
NPI 1639829666 · on the registry since 2022 · sole proprietor
Practice
- Address
- 22101 Moross Rd
Detroit, MI 48236 - Phone
- (313) 343-4000
- Organisation at this address
- Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 504
Additional practice sites
- 7950 W Jefferson Blvd, Fort Wayne, IN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-19
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