Individual
DONALD LAWRENCE WICKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3336
(412) 359-6263
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3336
(412) 359-6263
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
MD026049E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000864191
—
PA
05
—
3810008593
—
WV
Enumeration date
08/11/2005
Last updated
10/05/2020
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