Peter M Wilusz Dpm PC
Peter M Wilusz Dpm PC is a healthcare organization registered as Foot & Ankle Surgery Podiatrist in Clarkston, MI, holding Type 2 (organization) NPI 1083647739 since 2006. The authorized official on file is Peter Wilusz, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083647739 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Peter M Wilusz Dpm PC |
| Practice address | 5730 BELLA ROSA BLVD STE 200, Clarkston, MI, 48348 |
| Phone | 2489226000 |
| Fax | 2489225779 |
| Enumeration date | 2006-07-08 |
| Last updated in NPPES | 2018-06-11 |
Authorized official
| Name | Peter Wilusz |
|---|---|
| Title | President |
| Phone | 2486728805 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Primary | 5901002033 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5790397 | Other | MI | CIGNA |
| 7210519 | Other | MI | AETNA |
| QMXPR0030596 | Other | MI | MOLINA HEALTH CARE |
| 162339 | Other | — | GLHP |
| U93968 | Other | MI | HAP |
| 4940030 TYPE 13 | Medicaid | MI | — |
| 71863 | Other | MI | OMNICARE |
| 00002528538 | Other | MI | UNITED HEALTHCARE |
Copy-ready billing details
Provider: Peter M Wilusz Dpm PC NPI: 1083647739 Taxonomy: 213ES0103X (Foot & Ankle Surgery Podiatrist) Address: 5730 BELLA ROSA BLVD STE 200, Clarkston, MI, 48348
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083692925 | Peter Wilusz | Individual | Podiatrist | Clarkston, MI |
Verify this record
Cross-check NPI 1083647739 against the authoritative CMS record: view Peter M Wilusz Dpm PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Peter M Wilusz Dpm PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-11.