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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 5601005889 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | STATE LICENSE | 5601005889 | 01 |
Street Address |
28455 HAGGERTY RD STE 200 |
City | NOVI |
State | MI |
Zip Code | 48377-2982 |
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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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 |
Find all providers in zip 48377 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
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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.