Individual
DR. RICHARD M WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 WEALTHY ST SE, SUITE 180, GRAND RAPIDS, MI 49506-2969
(616) 458-1200
(616) 459-0199
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
027730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3472981
—
MI
Enumeration date
10/04/2006
Last updated
07/29/2021
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