Dennis R. Wicks, M.D.

NPI #1235331992 in Custer, South Dakota

Provider Information

NPI Number: 1235331992
Entity Type: Individual
Name: Dennis R. Wicks, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 25224 HOLIDAY TRL
City: Custer
State: South Dakota
ZIP Code: 57730-8342
Phone: (605) 673-2689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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