Individual
MR. AARON BRADLEY WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-3500
(330) 543-5001
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-3500
(330) 543-5001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149746
—
OH
Enumeration date
11/10/2014
Last updated
06/22/2021
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