Organization
PETER M WILUSZ DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M WILUSZ DPM (PRESIDENT)
(248) 672-8805
Entity
Organization
Contact information
Practice address
5730 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348
(248) 922-6000
(248) 922-5779
Mailing address
5730 BELLA ROSA BLVD STE 200, CLARKSTON, MI 48348-4774
(248) 922-6000
(248) 922-5779
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002528538
UNITED HEALTHCARE
MI
01
—
162339
GLHP
—
05
—
4940030 TYPE 13
—
MI
01
—
5790397
CIGNA
MI
01
—
71863
OMNICARE
MI
01
—
7210519
AETNA
MI
01
—
QMXPR0030596
MOLINA HEALTH CARE
MI
01
—
U93968
HAP
MI
Enumeration date
07/08/2006
Last updated
06/11/2018
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