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Individual

MR. CURTIS G WICKRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 W BROADWAY ST, 4TH FLOOR, MISSOULA, MT 59802-4008
(406) 327-1900
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 543-7271

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00019812
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8342602
WA
Enumeration date
08/24/2005
Last updated
09/01/2015
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