Organization
WILLIAM J WICKLINE OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J WICKLINE OD (PRESIDENT)
(360) 681-3937
Entity
Organization
Contact information
Practice address
680 W WASHINGTON ST, STE E102, SEQUIM, WA 98382-3264
(360) 681-3937
(360) 681-2744
Mailing address
680 W WASHINGTON ST, STE E102, SEQUIM, WA 98382-3264
(360) 681-3937
(360) 681-2744
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OD00001525
WA
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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