| Cheryl Wickham, MD | |
|
3399 E Grand River Ave Ste 202, Howell, MI 48843-7555 | |
| (517) 548-1020 | |
| Not Available |
| Full Name | Cheryl Wickham |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3399 E Grand River Ave Ste 202, Howell, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285687939 | NPI | - | NPPES |
| CW047502 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4425672 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301047502 (Michigan) | Primary |
| Entity Name | Regents Of The University Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Wickham, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Cheryl Wickham, MD 3399 E Grand River Ave Ste 202, Howell, MI 48843-7555 Ph: (517) 548-1020 |
Dr. Malcolm Darryl Steider, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4988 Stillmeadow Dr, Howell, MI 48843 Phone: 517-545-0359 | |
Hannah Joy-simmons Kanbach, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3399 E Grand River Ave, Howell, MI 48843 Phone: 734-539-5080 | |
Dr. Aaron Michael Daniel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 202 W Highland Rd Ste A, Howell, MI 48843 Phone: 517-338-9090 Fax: 517-338-9083 | |
Kristen Elizabeth Unsicker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3399 E Grand River Ave, Howell, MI 48843 Phone: 734-539-5080 | |
Benjamin Maddock, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3399 E Grand River Ave, Howell, MI 48843 Phone: 734-539-5080 | |
Dr. Dongsoo Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3101 Charann Dr, Howell, MI 48843 Phone: 517-546-1835 |