Individual
THOMAS JAY WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
551 2ND ST, TRAER, IA 50675-1138
(319) 478-8515
(319) 478-8497
Mailing address
551 2ND ST, TRAER, IA 50675-1138
(319) 478-8515
(319) 478-8497
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05352
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1257816
—
IA
01
—
38385
WELLMARK,BCBS
IA
Enumeration date
01/27/2006
Last updated
06/27/2013
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