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Individual

DR. JAMES R FICKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 N CAROLINE ST, JHOC 5215, BALTIMORE, MD 21278-0006
(410) 502-1714
Mailing address
601 N CAROLINE ST, JHOC 5215, BALTIMORE, MD 21278-0006
(410) 502-1714

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
D76759
MD
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
K8747
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D0076769
MARYLAND LICENSE
MD
01
K8747
PHYSICIAN LICENSE
TX
Enumeration date
01/10/2006
Last updated
05/13/2015
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