Search › Michigan › 122300000X
Michel Wicksall, DDS
NPI 1912165556 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4500 Cascade Rd Se
200
Grand Rapids, MI 49546 - Phone
- (616) 975-9700
- Fax
- (616) 975-9750
- Organisation at this address
- Stuart Pettijohn Dds Pllc
Authenticity Recovery Llc
Forest Hills Dental, P.C.
Dr. Mark Salhaney D.D.S., P.C.
Grand Rapids Thoracic Surgery, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-30
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