Individual
DR. MARSHALL WICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
207 S CHESTNUT ST UNIT B, REED CITY, MI 49677-1205
(231) 832-9488
(231) 832-9348
Mailing address
207 S CHESTNUT ST UNIT B, REED CITY, MI 49677-1205
(231) 832-9488
(231) 832-9348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101011160
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4592518
—
MI
Enumeration date
02/08/2006
Last updated
11/25/2014
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