Individual
MRS. AUSTIN MICHELE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-7594
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A158451
CA
Other
Enumeration date
06/20/2017
Last updated
08/11/2025
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