Individual
DAVID WICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
(330) 264-3777
Mailing address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
(330) 264-3777
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.004411
OH
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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