Individual
DR. WISSAM DIMACHK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11900 E 12 MILE RD STE 102, WARREN, MI 48093
(586) 573-7470
Mailing address
11900 E 12 MILE RD STE 102, WARREN, MI 48093-3487
(586) 573-7470
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002567
MI
Other
Enumeration date
04/10/2015
Last updated
07/04/2018
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