Larry A Wickless, MD | |
28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336-5966 | |
(248) 471-8982 | |
(248) 426-7350 |
Full Name | Larry A Wickless |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 28080 Grand River Ave, Farmington Hills, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033189071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 5101005865 (Michigan) | Primary |
Entity Name | Manatee Memorial Hospital L P |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770505687 PECOS PAC ID: 2062309164 Enrollment ID: O20060221000789 |
Mailing Address | Practice Location Address |
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Larry A Wickless, MD 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336-5966 Ph: (248) 471-8982 | Larry A Wickless, MD 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336-5966 Ph: (248) 471-8982 |
Kali Allis, Gastroenterology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000 | |
Dr. Jyothsna Yalavarthi, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 734-464-0887 Fax: 734-402-0254 | |
Dr. Roberto Mauro Gamarra, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334 Phone: 248-985-5000 Fax: 248-985-5500 | |
Dr. Jared Grodman, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220 | |
Justin Cykiert, Gastroenterology Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-615-0777 | |
Alabbas Alaamili, DO Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |