LARRY WICKLESS, M.D.

Internal Medicine - Gastroenterology

Active Individual
NPI: 1033189071

Practice Address

28080 GRAND RIVER AVE
SUITE 306
Farmington Hills, MI 48336

Phone: (248) 471-8982

Specialties

Specialty Code Primary License
Internal Medicine - Gastroenterology 207RG0100X Yes 5101005865 (MI)

Frequently Asked Questions

NPI 1033189071 is the National Provider Identifier for LARRY WICKLESS, M.D., a Internal Medicine - Gastroenterology provider located in Farmington Hills, MI. This NPI was enumerated on January 24, 2006.
LARRY WICKLESS, M.D. practices at 28080 GRAND RIVER AVE, SUITE 306, Farmington Hills, MI 48336.

Quick Facts

NPI
1033189071
Type
Individual
Enumerated
Jan 24, 2006
Last Updated
Jul 8, 2007

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