Michael D Wicks, MD PC

NPI #1689607210 in Silverton, Oregon

Provider Information

NPI Number: 1689607210
Entity Type: Organization
Organization Name: Michael D Wicks, MD PC
Primary Specialty: Family Medicine
Enumeration Date: Jul 8, 2006
Last Updated: Aug 16, 2010

Practice Location

Address: 347 FAIRVIEW ST
City: Silverton
State: Oregon
ZIP Code: 97381-1916
Phone: (503) 873-8341

Authorized Official

Name: DR. MICHAEL DAVID WICKS, M.D.
Title: OWNER
Phone: (503) 873-8341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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