Individual
DR. BRYAN MARTIN WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11374 MOUNTAIN VIEW AVE, DOVER BUILDING, SUITE C, LOMA LINDA, CA 92354-3815
(909) 558-6094
Mailing address
25654 LANE ST, LOMA LINDA, CA 92354-2415
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A95308
CA
Other
Enumeration date
05/07/2007
Last updated
11/29/2021
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