Andrea Leigh Wickus, PAC

NPI #1104881879 in Leesport, Pennsylvania

Provider Information

NPI Number: 1104881879
Entity Type: Individual
Name: Andrea Leigh Wickus, PAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Apr 18, 2006
Last Updated: Jan 20, 2023

Practice Location

Address: 5 S CENTRE AVENUE
City: Leesport
State: Pennsylvania
ZIP Code: 19533
Phone: (610) 926-5707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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