Donna M Wicker, OD | |
1000 Wall St, Ann Arbor, MI 48105-1912 | |
(734) 764-4190 | |
Not Available |
Full Name | Donna M Wicker |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 37 Years |
Location | 1000 Wall St, Ann Arbor, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073667820 | NPI | - | NPPES |
1829544 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003111 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Michigan Health System | Ann arbor, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The University Of Michigan | 3779496856 | 2916 |
Provider Name | Regents Of The University Of Michigan |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255356903 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000292 |
Mailing Address | Practice Location Address |
---|---|
Donna M Wicker, OD 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047 | Donna M Wicker, OD 1000 Wall St, Ann Arbor, MI 48105-1912 Ph: (734) 764-4190 |
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