MS. Wendy Wicke, PA-C

NPI #1548685175 in Sonora, California

Provider Information

NPI Number: 1548685175
Entity Type: Individual
Name: MS. Wendy Wicke, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 18, 2014
Last Updated: Feb 18, 2014

Practice Location

Address: 1000 GREENLEY RD
City: Sonora
State: California
ZIP Code: 95370-5200
Phone: (209) 532-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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