Individual
DR. DANIELLE GERMAIN WICKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, DEPT. OF INTERNAL MEDICINE- CONNIE FARRINGTON, PHOENIX, AZ 85006-2612
(602) 239-2296
Mailing address
1111 E MCDOWELL RD, DEPT. OF INTERNAL MEDICINE- CONNIE FARRINGTON, PHOENIX, AZ 85006-2612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70820
AZ
Other
Enumeration date
06/21/2008
Last updated
09/12/2011
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