Individual
MARC LUTHER WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-A
Contact information
Practice address
280 CENTRAL AVE, W123 THOMPSON HALL, FREDONIA, NY 14063-1127
(716) 673-3203
Mailing address
280 CENTRAL AVE, W123 THOMPSON HALL, FREDONIA, NY 14063-1127
(716) 673-3203
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001310-1
NY
Other
Enumeration date
07/19/2006
Last updated
02/20/2013
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