Charles Robert Wick

NPI #1083196018 in Fairborn, Ohio

Provider Information

NPI Number: 1083196018
Entity Type: Individual
Name: Charles Robert Wick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Sep 6, 2018
Last Updated: Jul 18, 2022

Practice Location

Address: 188 W HEBBLE AVE
City: Fairborn
State: Ohio
ZIP Code: 45324-4960
Phone: (937) 226-9787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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