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Individual

MICHAEL M WICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2995 WOODSIDE RD, STE 400, WOODSIDE, CA 94062-2446
(650) 845-7711
Mailing address
2995 WOODSIDE RD, STE 400, WOODSIDE, CA 94062-2446
(650) 845-7711

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
37261
MA
207NS0135X
Procedural Dermatology Physician
Primary
G34509
CA

Other

Enumeration date
04/03/2007
Last updated
11/29/2022
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