Individual
NICHOLAS WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
(206) 720-8462
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD61301301
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD61301301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497102651
—
WI
Enumeration date
05/18/2016
Last updated
07/24/2025
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