DR. Michelle Renee Wickline, O.D.

NPI #1174521850 in Salem, West Virginia

Provider Information

NPI Number: 1174521850
Entity Type: Individual
Name: DR. Michelle Renee Wickline, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 7, 2005
Last Updated: Jun 29, 2012

Practice Location

Address: RT 1 BOX 75-4
City: Salem
State: West Virginia
ZIP Code: 26426
Phone: (304) 782-1005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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