Michel Marie Wicksall DDS PLC
Michel Marie Wicksall DDS PLC is a General Practice Dentistry in Grand Rapids, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4880 Cascade Rd SE Ste BGrand Rapids, MI 49546-3701
Phone: (616) 975-9700
Fax: (616) 975-9750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1053984591 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michel Wicksall — Owner · (616) 975-9700 |
| Other names | Michel Marie Wicksall Dds |
| NPI enumerated | July 22, 2021 |
| Last updated in NPPES | July 22, 2021 |
| Certification date | July 22, 2021 |
| Mailing address | 4880 Cascade Rd Se Ste B, Grand Rapids, MI 49546-3701 |
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