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Individual

DR. AMY M WICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
511 BATH ST, SANTA BARBARA, CA 93101
(805) 963-9377
(805) 962-2154
Mailing address
511 BATH ST, SANTA BARBARA, CA 93101
(805) 963-9377
(805) 962-2154

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125-049292
IL
207X00000X
Orthopaedic Surgery Physician
Primary
A116979
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
256809
NY

Other

Enumeration date
06/23/2008
Last updated
10/12/2011
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