Individual
DR. JOHN ANDREW WICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
229 SUMMIT ST, STE 1, BATAVIA, NY 14020-1645
(585) 343-4440
Mailing address
229 SUMMIT ST, STE 1, BATAVIA, NY 14020-1645
(585) 343-4440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
278176
NY
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
278176
NY
Other
Enumeration date
05/22/2012
Last updated
01/08/2020
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