Individual
DR. MARK BRENT WICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 NE 126TH ST, SUITE 100, NORTH MIAMI, FL 33161-4964
(305) 895-3434
(305) 893-8288
Mailing address
888 NE 126TH ST, SUITE 100, NORTH MIAMI, FL 33161-4964
(305) 895-3434
(305) 893-8288
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27814
FL
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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