Individual
DR. CHELSEA ELIZABETH WICKENHEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2909 E GRAND RIVER AVE STE 302, LANSING, MI 48912-4335
(517) 364-8680
Mailing address
909 E CESAR E CHAVEZ AVE # 302, LANSING, MI 48906-5345
(517) 365-8680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151013267
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/13/2017
Last updated
07/22/2020
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