Individual
DR. KERRY MICHELE WICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 HUDSON AVE, GLENS FALLS, NY 12801-4313
(518) 793-4477
(518) 793-5643
Mailing address
1240 NEW SCOTLAND RD, SUITE 100, SLINGERLANDS, NY 12159-9222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
277012-1
NY
Other
Enumeration date
01/19/2011
Last updated
03/03/2020
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