Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. SUSAN LEE WICKES
Active
Individual
DR. SUSAN LEE WICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20950
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441163
—
AZ
01
—
86080015085259A266
TRIWEST
AZ
01
—
86080015085260A010
TRIWEST
AZ
Enumeration date
12/12/2005
Last updated
10/31/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers