Mitchell Wicker., Jr., M.d., P.s.c.

NPI #1629249560 in Hazard, Kentucky

Provider Information

NPI Number: 1629249560
Entity Type: Organization
Organization Name: Mitchell Wicker., Jr., M.d., P.s.c.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 19, 2008
Last Updated: Aug 11, 2008

Practice Location

Address: 271 EAST MAIN STREET
City: Hazard
State: Kentucky
ZIP Code: 41701
Phone: (606) 439-1316

Authorized Official

Name: MITCHELL WICKER JR., M.D.
Title: OWNER
Phone: (606) 439-1316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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