Individual
CHAD WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1126 WESTRAC DR S, FARGO, ND 58103-2473
(701) 412-2973
(701) 237-4407
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
247200000X
Other Technician
—
ND
Other
Enumeration date
06/18/2017
Last updated
10/01/2021
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