Organization
MICHAEL D WICKS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID WICKS M.D. (OWNER)
(503) 873-8341
Entity
Organization
Contact information
Practice address
347 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 873-8341
(503) 873-2328
Mailing address
347 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 873-8341
(503) 873-2328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09070
OR
Other
Enumeration date
07/08/2006
Last updated
08/16/2010
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