Individual
JERRY WICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
774 MULLIS ST STE A, FRIDAY HARBOR, WA 98250-7984
(360) 370-5500
(360) 370-5514
Mailing address
PO BOX 475, FRIDAY HARBOR, WA 98250-0475
(360) 370-5500
(360) 370-5514
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2414
WA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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