Organization
MARSHALL R. WICKENS DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL ROBERT WICKENS DO (OWNER)
(231) 832-9488
Entity
Organization
Contact information
Practice address
207 S CHESTNUT ST UNIT B, REED CITY, MI 49677-1205
(231) 832-9488
(231) 832-9348
Mailing address
207 S CHESTNUT ST UNIT B, REED CITY, MI 49677-1205
(231) 832-9488
(231) 832-9348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101011160
MI
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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