Individual
WILLIAM M VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 SE THIRD STREET, SUITE 500, EVANSVILLE, IN 47708-1421
(812) 473-0181
(812) 473-5822
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01043252A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002730
—
IN
Enumeration date
10/11/2005
Last updated
10/16/2017
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