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Organization
SUSAN WICKE, MD, PC
Active
Organization
SUSAN WICKE, MD, PC
Active
Other names
Susan Wicke, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN HOLLY WICKE M.D. (PSYCHIATRIST)
(919) 493-3932
Entity
Organization
Contact information
Practice address
112 SWIFT AVE, DURHAM, NC 27705-4800
(919) 493-3932
(919) 493-3932
Mailing address
112 SWIFT AVENUE, DURHAM, NC 27705
(919) 493-3932
(919) 493-3932
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
36618
NC
Other
Enumeration date
01/19/2007
Last updated
08/23/2007
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