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Individual
DR. MATTHEW E WICK
Active
Individual
DR. MATTHEW E WICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23613
WV
207Q00000X
Family Medicine Physician
MT191103
PA
207Q00000X
Family Medicine Physician
Primary
P5147
TX
Other
Enumeration date
12/29/2008
Last updated
03/22/2019
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