Peter Michael Wilusz DPM

NPI 1083692925 - Podiatrist - 213E00000X

NPI Details
NPI 1083692925
Gender Male
Enumeration Date 12/31/2005
Last Updated 07/19/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6510 TOWN CENTER DR
SUITE C
CLARKSTON MI, 48346-4822, US
Phone (248) 922-6000
Fax (248) 922-5997
Business Location
6510 TOWN CENTER DR
SUITE C
CLARKSTON MI, 48346-4822, US
Phone (248) 922-6000
Fax (248) 922-5997
Toxanomy
Taxonomy Code 213E00000X
License State Michigan
License Number PW002033
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According to our database, Dr. Peter Michael Wilusz DPM NPI is 1083692925, taxonomy code is 213E00000X and license number is PW002033, license state is located at Michigan. Peter Michael Wilusz DPM physically located at 6510 Town Center Dr, Clarkston MI, 48346-4822. NPI Number Peter Michael Wilusz DPM has the Individual type.

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1083692925 NPI number is provided on an as is basis without warranty of any kind. 1083692925 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Michael Wilusz DPM are for informational purposes only.