Type 2 organization · NPI 1003083957
PETER L WICKENS D.O.,P.C.
261QP2300X · WARREN, MI
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 261QP2300X | 261QP2300X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s