Individual
DR. JASON ALAN WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-2912
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-2912
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
MD.30721
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2009
Last updated
02/07/2017
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