Individual
JULIA K. WICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02480
NC
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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