Individual
HEIDI WYKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2388 W M 55, WEST BRANCH, MI 48661-9701
(989) 345-0867
Mailing address
805 W 1ST ST, GLADWIN, MI 48624-1019
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502005600
MI
Other
Enumeration date
09/15/2019
Last updated
09/15/2019
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