Individual
DR. RICHARD R WISCKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
35223 GRAND RIVER, FARMINGTON, MI 48335
(248) 474-4600
(248) 474-0052
Mailing address
35223 GRAND RIVER, FARMINGTON, MI 48335
(248) 474-4600
(248) 474-0052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14482
MI
Other
Enumeration date
08/12/2006
Last updated
03/07/2023
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