| NPI | 1053984591 |
|---|---|
| Doing Business As | MICHEL MARIE WICKSALL DDS |
| Entity Type | Organization |
| Authorized Contact | MICHEL WICKSALL Owner 616-975-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |