Individual
DR. PATRICIA ANN WALICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH. D.
Contact information
Practice address
10 KINGS RD, BRISBANE, CA 94005-1642
(415) 656-4358
Mailing address
10 KINGS RD, BRISBANE, CA 94005-1642
(415) 656-4358
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G49487
CA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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