Individual
DR. MICHAEL QUINN WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 S DUNWORTH ST, VISALIA, CA 93292-6702
(559) 625-0601
(559) 625-1315
Mailing address
316 S DUNWORTH ST, VISALIA, CA 93292-6702
(559) 625-0601
(559) 625-1315
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200600790
NC
Other
Enumeration date
04/22/2008
Last updated
10/24/2014
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