Organization
WICKMAN FAMILY MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. WICKMAN (M.D. M.P.H.)
(901) 377-3001
Entity
Organization
Contact information
Practice address
8485 US HIGHWAY 64 STE 101, MEMPHIS, TN 38133-4102
(901) 377-3001
(901) 377-3130
Mailing address
8485 US HIGHWAY 64 STE 101, MEMPHIS, TN 38133-4102
(901) 377-3001
(901) 377-3130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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