Individual
ANDREW B WICKLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 MIDDLE SETTLEMENT RD, SUITE 201, NEW HARTFORD, NY 13413-5331
(315) 735-4496
(315) 735-7066
Mailing address
4401 MIDDLE SETTLEMENT RD, SUITE 201, NEW HARTFORD, NY 13413-5331
(315) 735-4496
(315) 735-7066
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
211832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02237869
—
NY
Enumeration date
12/28/2005
Last updated
04/03/2019
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