# DR. AMY M WICKMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659532505
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 125-049292 | IL | — |
| 207X00000X | Orthopaedic Surgery Physician | A116979 | CA | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | 256809 | NY | — |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 10/12/2011