National Provider Identifier Database

PETER M WILUSZ, DPM – NPI #1083692925
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

PETER M WILUSZ, DPM
5730 BELLA ROSA BLVD STE 200
CLARKSTON, MI48348
Phone: 248-922-6000
Fax: 248-922-5997
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for PETER M WILUSZ

NPI Number 1083692925
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 12/31/2005
Last updated 06/11/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: PW002033
  • MI Medicaid: 4940030 TYPE 13
  • MI Other: 4856315560 BLUE CROSS
  • MI Other: 4858214660 BLUE CROSS BLUSE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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