Individual
DR. WANDA J WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4920 CAMPBELL BOULAVARD, BALTIMORE, MD 21236-5916
(410) 933-7600
(410) 933-7601
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D36343
MD
Other
Enumeration date
12/28/2006
Last updated
07/11/2024
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