institution
Peter M Wilusz Dpm Pc
Foot & Ankle Surgery Podiatrist in Clarkston, Michigan
NPI 1083647739

Peter M Wilusz Dpm Pc is a Foot & Ankle Surgery Podiatrist based in Clarkston, MI and is specialized in Foot & Ankle Surgery. Peter M Wilusz Dpm Pc practices in Clarkston, MI. The NPI Number for Peter M Wilusz Dpm Pc is 1083647739 and holds a License No. 5901002033 (Michigan).

The current practice location address for Peter M Wilusz Dpm Pc is 5730 Bella Rosa Blvd Ste 200, Clarkston, MI and can be reached out via phone at 248-922-6000 and via fax at 248-922-5779.

Location: 5730 Bella Rosa Blvd Ste 200, Clarkston, MI, 48348-4774
institution
Provider Profile Details
NPI Number
1083647739
Provider Name
Peter M Wilusz Dpm Pc
Credential
Provider Entity Type
Organization
Address
5730 Bella Rosa Blvd Ste 200, Clarkston, MI, 48348-4774
Phone Number
248-922-6000
Fax Number
248-922-5779
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5790397 01 MI CIGNA
7210519 01 MI AETNA
QMXPR0030596 01 MI MOLINA HEALTH CARE
162339 01 GLHP
U93968 01 MI HAP
4940030 TYPE 13 05 MI
71863 01 MI OMNICARE
00002528538 01 MI UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
5730 Bella Rosa Blvd Ste 200
City
State
Zip
48348
Phone Number
248-922-6000
Fax Number
248-922-5779
person
Provider Business Mailing Address Details
Address
5730 Bella Rosa Blvd Ste 200
City
State
Zip
48348
Phone Number
248-922-6000
Fax Number
248-922-5779
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
5901002033 (Michigan)
Definition
Definition to come...
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