# PETER M WILUSZ DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083647739
- **Authorized official:** DR. PETER M WILUSZ DPM (PRESIDENT)
- **Authorized official phone:** (248) 672-8805

## Contact information

- **Practice address:** 5730 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348
- **Practice address phone:** (248) 922-6000
- **Practice address fax:** (248) 922-5779
- **Mailing address:** 5730 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348-4774
- **Mailing address phone:** (248) 922-6000
- **Mailing address fax:** (248) 922-5779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 5901002033 | MI | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 06/11/2018