Individual
DR. JAMES R WICKERATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1706 E CAPITOL AVE, VARIABLE SUBCONTRACTING CITIES AND STATES, ELLENSBURG, WA 98926
(509) 674-3759
Mailing address
1706 E CAPITOL AVE, ELLENSBURG, WA 98926-9442
(509) 674-8511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00028905
WA
Other
Enumeration date
06/22/2006
Last updated
05/14/2019
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