Individual
QUINN WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-1402
Mailing address
14701 179TH AVE SE, MONROE, WA 98272-1108
(515) 851-8876
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301108218
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2015
Last updated
11/01/2022
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