Individual
DR. CECILE WYCKAERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3315 WATT AVE, SACRAMENTO, CA 95821-3600
(916) 481-0777
(916) 481-1881
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(510) 625-2856
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A89089
CA
207R00000X
Internal Medicine Physician
A89089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC350X
PTAN
CA
Enumeration date
12/09/2005
Last updated
01/27/2022
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