Individual
GEORGE E WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0041365
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2611916
AETNA HMO
—
01
—
38955
JOHNS HOPKINS HEALTHCARE
—
01
—
5229
BRAVO/ ELDER HEALTH
—
01
—
52352101
CAREFIRST BLUE CROSS
MD
01
—
5580400
CIGNA
—
01
—
7300115
AETNA PPO
—
05
—
99901600
—
MD
01
—
F551-0004
CAREFIRST BLUE CROSS
DC
Enumeration date
11/22/2005
Last updated
04/16/2008
Update your record
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