William J Wickwire M D INC a Professional Corporation
NPI #1326119165 in Redondo Beach, California
Provider Information
- NPI Number
- 1326119165
- Entity Type
- Organization
- Organization Name
- William J Wickwire M D INC a Professional Corporation
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Mar 24, 2022
Practice Location
- Address
- 520 N PROSPECT AVE
- Address 2
- STE 302
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-3041
- Phone
- (310) 798-1515
Authorized Official
- Name
- NEAL M AMMAR, M.D
- Title
- CEO
- Phone
- (310) 798-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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