Wichlacz, Robert

Wichlacz, Robert is an individual health care provider with primary practice located at 3041 Charlevoix Dr Se , Grand Rapids MI 49546-7035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Wichlacz, Robert can be contacted via phone (616) 942-7200.

Contact Information

Primary practice address
3041 Charlevoix Dr Se Grand Rapids MI 49546-7035
Phone: (616) 942-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5501006967 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501006967 Michigan

Profile Details

NPI number 1487629085
LBN Legal business name Wichlacz, Robert
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Aug 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487629085 NPPES
Michigan Other 650G011440 BOB BCBSMI
Michigan Other 5501006967 BOB BCBSMI

Popular Providers