MEDICARE: WENDY BUIKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	5502002930	MI

General Provider Information

NPI Number	:	1124980875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY BUIKE

Provider Business Mailing Address
First Line	:	4157 MCDOWELL RD
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-9697
Country	:	US
Telephone Number	:	810-358-5895
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 DEVONSHIRE DR
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2855
Country	:	US
Telephone Number	:	810-356-9238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ WENDY BUIKE ” Practice Location

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