Organization
WIZWHEELZ, INC.
Active
Other names
TerraTrike
Organization subpart
No
Provider details
NPI number
Authorized official
LORI WISWELL (CUSTOMER SERVICE AND SUPPORT)
(616) 455-5988
Entity
Organization
Contact information
Practice address
4460 40TH ST SE, GRAND RAPIDS, MI 49512-4035
(616) 455-5988
(775) 227-6396
Mailing address
4460 40TH ST SE, GRAND RAPIDS, MI 49512-4035
(616) 455-5988
(775) 227-6396
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047829762
DUNS
—
01
—
5VQ55
SAM CAGE CODE
—
Enumeration date
01/30/2020
Last updated
01/30/2020
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