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LARRY A WICKLESS M.D.
NPI 1033189071
Internal Medicine - Gastroenterology in Farmington Hills, MI

Active since January 24, 2006
28080 GRAND RIVER AVE, SUITE 306, FARMINGTON HILLS, MI 48336(248) 471-8982(248) 426-7350 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larry A Wickless M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY A WICKLESS M.D. (NPI 1033189071) is an individual gastroenterology provider in Farmington Hills, Michigan, licensed in Michigan (5101005865) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1033189071
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLARRY A WICKLESSCredential: M.D.
Location Address28080 GRAND RIVER AVE, SUITE 306Farmington Hills, MI 48336-5966
Mailing Address28080 Grand River Ave, Suite 306Farmington Hills, MI 48336-5966 · (248) 471-8982 · Fax (248) 426-7350
Phone(248) 471-8982
Fax(248) 426-7350
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033189071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 5101005865
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
28080 GRAND RIVER AVE, Farmington Hills, MI 48336
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Other Identifiers 1

Medicare UPINB47677

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY ASHBY D.O.
Otolaryngology (Facial Plastic Surgery)
28080 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8000
BOTSFORD GENERAL HOSPITAL
Internal Medicine (Hematology & Oncology)
28080 GRAND RIVER AVE, SUITE 306
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8182
DR. MAJID JAHANGIR QAZI D. O.
Internal Medicine (Cardiovascular Disease)
28080 GRAND RIVER AVE, SUITE 300W
FARMINGTON HILLS, MI 48336
Oakland County (248) 615-7300
HARRIS W. MAINSTER, D.O./P.C.
Surgery
28080 GRAND RIVER AVE, SUITE 204 N
FARMINGTON HILLS, MI 48336
Oakland County (248) 478-7767
GEORGE SCOTT JENNINGS DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
28080 GRAND RIVER AVE, 208 N
FARMINGTON HILLS, MI 48336
Oakland County (248) 478-7733
ANNETTE CARRON DO
Internal Medicine (Geriatric Medicine)
28080 GRAND RIVER AVE, SUITE 306
FARMINGTON HILLS, MI 48336
Oakland County (734) 464-0887
DR. GEORGE EDWARD GOPOIAN DPM
Podiatrist (Foot & Ankle Surgery)
28080 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8000
DR. CYNTHIA SANDONA D.O.
Surgery
28080 GRAND RIVER AVE, SUITE 204 N
FARMINGTON HILLS, MI 48336
Oakland County (248) 478-7767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Wickless's NPI number?

The NPI number for Larry Wickless is 1033189071. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Larry Wickless located?

Larry Wickless practices at 28080 Grand River Ave Suite 306, Farmington Hills, MI 48336. The listed phone number is (248) 471-8982.

What is Larry Wickless's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Larry Wickless was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.