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

Mr. Ralph Wiktor, PA-C

Individual provider Medical Physician Assistant · NPI 1285674044

Mr. Ralph Wiktor, PA-C is a Physician Assistant in Grand Blanc, Michigan. Qualified in 1999, 27 years ago. Practices with Creekside Counseling Group LLC, a 33-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

10683 S Saginaw St Ste B
Grand Blanc, MI 48439-8127
Phone: (810) 771-4074
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11400 Joseph Campau St, Hamtramck, MI 48212-3041 — (313) 366-5500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003281 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601003281 (MI)

Record details

NPI number1285674044
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address2861 Lake Charnwood Dr, Troy, MI 48098-2120

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Creekside Counseling Group Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Grand Blanc