Individual
DR. DAVID WICKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
453 FISHER CT, SHELTON, CT 06484-2836
(503) 341-2570
Mailing address
453 FISHER CT, SHELTON, CT 06484-2836
(503) 341-2570
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038003761
IL
111NI0900X
Internist Chiropractor
CH00034818
WA
Other
Enumeration date
05/06/2011
Last updated
09/18/2013
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