Hollie Wicker, PA-C

NPI #1164510798 in Clive, Iowa

Provider Information

NPI Number: 1164510798
Entity Type: Individual
Name: Hollie Wicker, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 10, 2006
Last Updated: Feb 12, 2008

Practice Location

Address: 1601 NW 114TH ST
City: Clive
State: Iowa
ZIP Code: 50325-7007
Phone: (515) 222-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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