Individual
DR. DENNIS JAMES WICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W 13TH ST, VANCOUVER, WA 98660-2711
(360) 397-6226
Mailing address
PO BOX 61925, VANCOUVER, WA 98666-1925
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
MD00034361
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD00034361
WA
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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