BRUCE FREDERICK WILKENS


Address: 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982
Phone: 2488933200

BRUCE FREDERICK WILKENS (NPI# 1598075616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598075616
Entity Type Individual
Full Name BRUCE FREDERICK WILKENS
Credential PA
Practice Address 28455 Haggerty Rd
Ste 200
Novi
MI 48377-2982
Practice Telephone 2488933200
Practice Fax Number 2488932951
Mailing Telephone 2488933200
Mailing Fax Number 2488932951
Enumeration Date 2010-10-08
Last Update Date 2010-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601005889 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI STATE LICENSE 5601005889 01

Office Location

Street Address 28455 HAGGERTY RD
STE 200
City NOVI
State MI
Zip Code 48377-2982

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437147964 Stephen Craig Hyman Physical Medicine & Rehabilitation 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 2005-10-10
1992206924 Julie Ebel Physical Therapist 28455 Haggerty Rd, Novi, MI 48377-2982 2018-02-26
1508367418 Timothy Lawrence Fifer Physical Therapist 28455 Haggerty Rd, Novi, MI 48377-2982 2018-02-26
1578921441 Jill Gettle Dietitian, Registered 28455 Haggerty Rd, Suite 102, Novi, MI 48377-2982 2016-02-05
1821402678 Richard Declercq Nurse Practitioner 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 2014-06-19
1568889004 Lorna Broom Nurse Practitioner 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 2014-03-22
1043636772 Susan Musto Nurse Practitioner 28455 Haggerty Rd, Suite 200, Novi, MI 48377-2982 2014-03-05
1497048193 Lindsey Alexandra Rossman Physical Medicine & Rehabilitation 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 2011-05-27
1306140819 Danielle M Bessesen Nurse Practitioner 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 2010-12-28
1902124480 Karen Alkalay Physical Medicine & Rehabilitation 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 2010-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679075758 Andrea Campbell Nurse Practitioner 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 2018-03-05
1811421928 Michigan Eye and Contact Lens Pllc Optometrist 42081 14 Mile Road, Novi, MI 48377 2017-04-14
1336695691 Deanna Lynne Klein Speech-Language Pathologist 44140 Fox Run Road, Novi, MI 48377 2016-08-28
1871940973 Jaime Durante Nurse Practitioner 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 2016-05-18
1508225624 Trilogy Healthcare of Oakland II, LLC Skilled Nursing Facility 41795 W 12 Mile Road, Novi, MI 48377 2016-02-17
1144688854 Hussein Azzam Allergy & Immunology 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 2016-02-09
1598120164 Nova Counseling Services Inc. Counselor 41650 Clemens Circle, Novi, MI 48377 2015-12-23
1891174587 Reem Mariam Mansour Occupational Therapist 44125 West 12 Mile Rd E-123, Novi, MI 48377 2015-05-27
1154747095 Ali Hassan Ismail Dentist 41920 Wolfe Pass, Novi, MI 48377 2014-03-17
1558703876 Twelve Oaks Orthodontics Pllc Dentist 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 2013-07-29
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477109015 Sandra Pui Physician Assistant 44900 Lightsway Dr, Novi, MI 48375-3820 2019-08-09
1417447848 Spencer J Kovar Physician Assistant 27204 Beck Rd, Novi, MI 48374-1348 2018-05-10
1174045959 Leticia Garcia Haff Physician Assistant 39525 W 14 Mile Rd Ste 101, Novi, MI 48377-1635 2017-07-12
1750511887 Michelle Tomovski Physician Assistant 26750 Providence Pkwy Ste 200, Novi, MI 48374-1212 2009-07-23
1083815443 Jody Lynn Zak Physician Assistant 25613 Fountain Park Dr E, Apt 203, Novi, MI 48375-2538 2007-05-31
1619195203 Carol Ann Felcher Physician Assistant 25513 Dogwood Ln, Novi, MI 48374-2160 2007-04-22
1457488785 Arlene Calunas Physician Assistant 41072 Todd Ln, Novi, MI 48375-4969 2007-02-27
1508913047 Suzy Jo Francoeur Physician Assistant 40000 Grand River Ave Ste 105, Novi, MI 48375-2133 2007-01-05
1740357177 Jeffrey Scott Pirtle Physician Assistant 24230 Karim Blvd Ste 100, Novi, MI 48375-2960 2006-11-29
1356940175 Jacob Mastropaolo Physician Assistant 27275 Haggerty Rd Ste 500, Novi, MI 48377-3635 2020-10-22
Find all providers in NOVI

Competitor

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City NOVI
Zip Code 48377

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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