Most Relevant Information
Provider Data
| NPI Number: | 1003332230 |
| Provider Name: | MARCIA M WICKER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704199769 |
Most Important Dates
| Enumeration Date: | 08/18/2017 |
| Last Updated: | 08/18/2017 |
Provider Practice Location
2925 RUSSELL ST
DETROIT
MI
482074825
Practice Location Phone/Fax
| Phone: | 3133965300 |
| Fax: |
Provider Mailing Location
2706 MACOMB ST
DETROIT
MI
482073807
Provider Mailing Phone/Fax
| Phone: | 8104231614 |
| Fax: |