MICHEL MARIE WICKSALL

GRAND RAPIDS, MI
NPI1912165556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MI  16961)
Enumeration Date2008-05-30
Last Update Date2008-05-30
Business Address
Miss MICHEL MARIE WICKSALL DDS
4500 CASCADE RD SE 200
GRAND RAPIDS, MI 49546
Phone number: 616-975-9700
Mailing Address
Miss MICHEL MARIE WICKSALL DDS
4500 CASCADE RD SE 200
GRAND RAPIDS, MI 49546
Phone number: 616-975-9700