Individual
IVANNA WICZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6031 19 MILE RD STE A, STERLING HEIGHTS, MI 48314-2181
(586) 576-7965
(586) 510-4921
Mailing address
3247 LANCASTER DR, STERLING HEIGHTS, MI 48310-4376
(313) 903-1576
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003210
MI
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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