Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gregg B Wickstrom, MD

Individual provider Orthopaedic Surgery Physician · NPI 1992729867

Dr. Gregg B Wickstrom, MD is an Orthopaedic Surgery Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone: (231) 935-0900
Fax: (231) 935-0308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301030124 (MI)

Record details

NPI number1992729867
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 8, 2007

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