DR. Autumn Kay Wicke, O.D.

NPI #1770552671 in Chesaning, Michigan

Provider Information

NPI Number: 1770552671
Entity Type: Individual
Name: DR. Autumn Kay Wicke, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 15, 2006
Last Updated: Jul 2, 2009

Practice Location

Address: 1555 BRADY ROAD
City: Chesaning
State: Michigan
ZIP Code: 48616-0355
Phone: (989) 845-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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