Individual
MARCIA M WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
2706 MACOMB ST, DETROIT, MI 48207-3807
(810) 423-1614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704199769
MI
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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