DR. Michael David Wicks, M.D.

NPI #1154346591 in Silverton, Oregon

Provider Information

NPI Number: 1154346591
Entity Type: Individual
Name: DR. Michael David Wicks, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 13, 2006
Last Updated: Aug 19, 2010

Practice Location

Address: 347 FAIRVIEW ST
City: Silverton
State: Oregon
ZIP Code: 97381-1916
Phone: (503) 873-8341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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